Jodie H Moore (NPI# 1669031266, PAC ID# 3779810882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1669031266 |
| PAC ID by PECOS | 3779810882 |
| Professional Enrollment ID | I20190813001246 |
| Full Name | Jodie H Moore |
| Organization Legal Name | MEDICINE WHEEL INC |
| Address |
104 W F St Milburn OK 73450-0067 |
| Phone Number | 5804433533 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416126230 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 213 E Main St, Calera, OK 74730-2102 | 5804346800 | MEDICINE WHEEL INC |
| 104 W F St, Milburn, OK 73450-0067 | 5804433533 | MEDICINE WHEEL INC |
| Organization Legal Name | MEDICINE WHEEL INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitsi Faubion | Family Practice | Medicine Wheel Inc | 128 Buffalo St, Caddo, OK 74729-2606 |
| Natalie Alise Brixey | Family Medicine | Medicine Wheel Inc | 213 E Main St, Calera, OK 74730-2102 |
| Emily Love | Nurse Practitioner | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| Paul E Weathers | Family Medicine | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| Heather Micheal Workman | Nurse Practitioner | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| Street Address |
104 W F ST |
| City | MILBURN |
| State | OK |
| Zip | 73450-0067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Love | Nurse Practitioner | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| Paul E Weathers | Family Medicine | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| Heather Micheal Workman | Nurse Practitioner | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| City | MILBURN |
| Zip Code | 73450 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MILBURN + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.