Michelle Jean Moore (NPI# 1255984043, PAC ID# 3971832973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255984043 |
| PAC ID by PECOS | 3971832973 |
| Professional Enrollment ID | I20190916002740 |
| Full Name | Michelle Jean Moore |
| Organization Legal Name | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Address |
95 Locust Ave Danbury CT 06810-6148 |
| Phone Number | 2037397029 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789597691 |
| Number of Group Practice Members | 567 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070033 | DANBURY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 95 Locust Ave, Danbury, CT 06810-6148 | 2037397029 | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Organization Legal Name | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Physicians | 551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrice Thornton | Internal Medicine | Western Connecticut Medical Group Inc | 96 Route 37, New Fairfield, CT 06812 |
| Paola Ninoska Cruz Chery | Internal Medicine | Western Connecticut Medical Group Inc | 497 Westport Ave, Norwalk, CT 06851-4411 |
| Swati Srivastava | Family Medicine | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Jasmina Krstic | Internal Medicine | Western Connecticut Medical Group Inc | 363 Reef Rd, Fairfield, CT 06824-6582 |
| Rachel H Chung | Family Medicine | Western Connecticut Medical Group Inc | 38 E Ave, New Canaan, CT 06840-5516 |
| Marc Joseph Casasanta | Colorectal Surgery (proctology) | Western Connecticut Medical Group Inc | 111 Osborne St, Suite 121, Danbury, CT 06810-6019 |
| Susan Olsen | Physician Assistant | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Marcos Ramiro Lamas | Endocrinology | Western Connecticut Medical Group Inc | 25 Germantown Rd, Danbury, CT 06810-5036 |
| Tatyana Axyonova | Nurse Practitioner | Western Connecticut Medical Group Inc | 830 Post Rd E, Westport, CT 06880-5222 |
| Eve Block | Hospice/palliative Care | Western Connecticut Medical Group Inc | 24 Stevens St, Norwalk, CT 06850-3852 |
| Street Address |
95 LOCUST AVE |
| City | DANBURY |
| State | CT |
| Zip | 06810-6148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wenli Gao | Hematology/oncology | Western Connecticut Medical Group Inc | 95 Locust Ave, Danbury, CT 06810-6148 |
| Deanna M Ballard | Nurse Practitioner | Western Connecticut Medical Group Inc | 95 Locust Ave, Danbury, CT 06810-6148 |
| Dimitry Zilberman | Obstetrics/gynecology | Western Connecticut Medical Group Inc | 95 Locust Ave, Danbury, CT 06810-6148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Moreira | Neurology | 24 Danbury Ave, Danbury, CT 06810 | |
| Michael Baroody | Plastic and Reconstructive Surgery | 51 -53 Kenosia Ave, Suite 201, Danbury, CT 06810-2301 | |
| Amanda G Madkour | Physician Assistant | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Diane St Pierre | Physician Assistant | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Edward M Beck | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| John J Bruno | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Lin Li | Pathology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Jeffrey I Gorelick | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Guy J Manetti | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Andrea H Russo | Obstetrics/gynecology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Find all physicians in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DANBURY + 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.