Candice A Moore (NPI# 1326013228, PAC ID# 4183779358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1326013228 |
| PAC ID by PECOS | 4183779358 |
| Professional Enrollment ID | I20090911000553 |
| Full Name | Candice A Moore |
| Organization Legal Name | CANDICE MOORE INC |
| Address |
815 S Ash St Nevada Mental Health Services Nevada MO 64772-3222 |
| Phone Number | 4176678352 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7719032986 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 815 S Ash St, Nevada Mental Health Services, Nevada, MO 64772-3222 | 4176678352 | CANDICE MOORE INC |
| 815 S Ash St, Nevada, MO 64772-3222 | 4176678352 | CANDICE MOORE INC |
| Organization Legal Name | CANDICE MOORE INC |
| Physicians | 1 |
| Street Address |
815 S ASH ST NEVADA MENTAL HEALTH SERVICES |
| City | NEVADA |
| State | MO |
| Zip | 64772-3222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amie L Cooper | Psychologist, Clinical | Community Mental Health Consultants, Inc | 815 S Ash St, Nevada, MO 64772-3222 |
| Bethany Fast | Nurse Practitioner | Community Mental Health Consultants, Inc | 815 S Ash St, Nevada, MO 64772-3222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley M Ledom | Psychologist, Clinical | 700 E Highland Ave, Nevada, MO 64772-1025 | |
| Gary A Kurtz | Chiropractic | 1804 N Ash St, Nevada, MO 64772-1110 | |
| David L Neidel | Clinical Social Worker | 100 S Prewitt, Nevada, MO 64772-1760 | |
| Robert F Ingegneri | Psychologist, Clinical | 300 W Cherry St, Nevada, MO 64772-2202 | |
| Mark Harvey Comensky | Psychologist, Clinical | 300 W Cherry St, Nevada, MO 64772-2202 | |
| Jeremy Michael Fast | Optometry | Eyecare Professionals Inc | 111 N Main St, Nevada, MO 64772-2330 |
| Delton L Fast | Optometry | Eyecare Professionals Inc | 111 N Main St, Nevada, MO 64772-2330 |
| Nathan S Box | Otolaryngology | Freeman-oak Hill Health System | 216 N Main, Freeman Heart Institute, Nevada, MO 64772-2332 |
| Russell R Kemm | Family Medicine | 216 N Main, Nevada, MO 64772-2332 | |
| Linda Davidson | Psychologist, Clinical | 212 N Main St, Nevada, MO 64772-2332 | |
| Find all physicians in zip 64772 | |||
| City | NEVADA |
| Zip Code | 64772 |
| Specialty | PSYCHIATRY |
| City + Specialty | NEVADA + PSYCHIATRY |
Please comment or provide details below to improve the information on Candice A 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.