Wayne E Moore (NPI# 1821081472, PAC ID# 4183523608) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1821081472 |
| PAC ID by PECOS | 4183523608 |
| Professional Enrollment ID | I20040105000288 |
| Full Name | Wayne E Moore |
| Organization Legal Name | OLD HICKORY LANE EMERGENCY PHYSICIANS PLLC |
| Address |
355 New Shackle Island Rd Hendersonville TN 37075-2479 |
| Phone Number | 6153381000 |
| Gender | M |
| Credential | MD |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5799914123 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440111 | METRO NASHVILLE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 253 W Main St, Gallatin, TN 37066-3290 | 6154618784 | MOORE LIFE HEALTHCARE, PC |
| 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 6153381000 | OLD HICKORY LANE EMERGENCY PHYSICIANS PLLC |
| Organization Legal Name | OLD HICKORY LANE EMERGENCY PHYSICIANS PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy R Martin | Emergency Medicine | Old Hickory Lane Emergency Physicians Pllc | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Street Address |
355 NEW SHACKLE ISLAND RD |
| City | HENDERSONVILLE |
| State | TN |
| Zip | 37075-2479 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Disha Awasthi | Pulmonary Disease | Intensive Care Consortium Inc | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Catherine J Coleman | Anesthesiology | Anesthesia Medical Group, P.C. | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Catherine A Dabrowski | Anesthesiology | Anesthesia Medical Group, P.C. | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Oyedotun O Oyewole | Family Medicine | Meadowlark Inpatient Services Pllc | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Ivy L Jenkins | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Marshall R Johnson Jr. | Internal Medicine | Meadowlark Inpatient Services Pllc | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Jennifer L Wilbeck | Nurse Practitioner | Hospital Based Medical Services of Tennessee-i PC | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Gina Marie Barletta | Physician Assistant | Advanced Diagnostic Imaging PC | 355 New Shackle Island Rd, Hendersonville, TN 37075-2300 |
| Rhonda Hendon | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Marc Siegel | Anesthesiology | Anesthesia Medical Group, P.C. | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailu T Kabtimer | Internal Medicine | 919 W Main -, Hendersonville, TN 37075 | |
| Gina Mendoza | Podiatry | Advanced Diagnostic Imaging PC | 353 New Shackle Island, Roasuite 110 A, Hendersonville, TN 37075 |
| Stephanie E Kaelin | Nurse Practitioner | The Little Clinic of Tennessee LLC | 1010 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Kevin Johnson | Optometry | Johnson I-care, LLC | 1024 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Salimah N Jones | Nurse Practitioner | The Little Clinic of Tennessee LLC | 1010 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Brittany Radtke | Nurse Practitioner | The Little Clinic of Tennessee LLC | 1010 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Heather Marie Wood | Nurse Practitioner | The Little Clinic of Tennessee LLC | 1010 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Thomas J Frye | Optometry | Johnson I-care, LLC | 1024 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Mark T Compton | Physician Assistant | Tennessee Family Medicine, Plc | 1047 Glenbrook Way, Suite 120, Hendersonville, TN 37075-1231 |
| Timothy E O Leary | Physician Assistant | Tennessee Family Medicine, Plc | 1047 Glenbrook Way, Suite 120, Hendersonville, TN 37075-1231 |
| Find all physicians in zip 37075 | |||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | HENDERSONVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Wayne E 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.