Samuel Lynn Moore (NPI# 1225418999, PAC ID# 3870515836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1225418999 |
| PAC ID by PECOS | 3870515836 |
| Professional Enrollment ID | I20150730013243 |
| Full Name | Samuel Lynn Moore |
| Address |
462 6th St Carlin NV 89822-0000 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 462 6th St, Carlin, NV 89822-0000 | ||
| 2219 N 5th St, Elko, NV 89801-2483 | 7757779669 | ROBERT G BERRY JR ELKO CHARTERED |
| Street Address |
462 6TH ST |
| City | CARLIN |
| State | NV |
| Zip | 89822-0000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Blythe | Physician Assistant | Nevada Health Centers Inc. | 310 Memory Ln, Carlin, NV 89822-9902 |
| Rachel Eve Koransky-matson | Nurse Practitioner | Nevada Health Centers Inc | 310 Memory Ln, Carlin, NV 89822-9902 |
| City | CARLIN |
| Zip Code | 89822 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CARLIN + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Samuel Lynn Moore.
| 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.