Matthew D. Moore (NPI# 1649440959, PAC ID# 4880745793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1649440959 |
| PAC ID by PECOS | 4880745793 |
| Professional Enrollment ID | I20090706000092 |
| Full Name | Matthew D. Moore |
| Organization Legal Name | DIRECT RADIOLOGY PLLC |
| Address |
9658 23rd Bay St Norfolk VA 23518-1704 |
| Phone Number | 8556877237 |
| Gender | M |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 9436396165 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490024 | CARILION MEDICAL CENTER |
| 300029 | PORTSMOUTH REGIONAL HOSPITAL |
| 300017 | PARKLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 65 Sockanosset Cross Rd, Cranston, RI 02920-5536 | X RAY ASSOCIATES, INC | |
| 1 Parkland Dr, Derry, NH 03038-2746 | 6034321500 | PORTSMOUTH RADIOLOGICAL PA |
| 9658 23rd Bay St, Norfolk, VA 23518-1704 | 8556877237 | DIRECT RADIOLOGY PLLC |
| 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 6037365110 | PORTSMOUTH RADIOLOGICAL PA |
| Organization Legal Name | DIRECT RADIOLOGY PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan R Wood | Diagnostic Radiology | Direct Radiology Pllc | 44 -132 Hako St, Apt 2, Kaneohe, HI 96744-2507 |
| Marc Thomas Johannsen | Diagnostic Radiology | Direct Radiology Pllc | 2507 Holly Point Rd E, Orange Park, FL 32073-5632 |
| James Clark Haug | Diagnostic Radiology | Direct Radiology Pllc | 8611 Lantana Spgs, Converse, TX 78109-2332 |
| Joseph G Mollura | Diagnostic Radiology | Direct Radiology Pllc | 845 United Nations Plz, Apt 47d, New York, NY 10017-3535 |
| Baharak Bagheri | Diagnostic Radiology | Direct Radiology Pllc | 23568 Highland Dr, Fergus Falls, MN 56537-8170 |
| Edmund D Harris | General Practice | Direct Radiology Pllc | 159 Thornton Ln, Lakehills, TX 78063-4314 |
| Karen Dittrich | Diagnostic Radiology | Direct Radiology Pllc | 95 E 4100, Park City, UT 84098-6323 |
| Street Address |
9658 23RD BAY ST |
| City | NORFOLK |
| State | VA |
| Zip | 23518-1704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Ray Zamani | Family Medicine | Portsmouth Community Health Center Inc | 9581 Shore Dr, Norfolk, VA 23518-1711 |
| Ashley N Curtis | Physician Assistant | East Beach Urgent Care LLC | 9545 Shore Dr, Norfolk, VA 23518-1711 |
| Stacy L Forbes | Physician Assistant | East Beach Urgent Care LLC | 9545 Shore Dr, Norfolk, VA 23518-1711 |
| Janelle M Wells | Family Medicine | Portsmouth Community Health Center Inc | 9581 Shore Dr, Norfolk, VA 23518-1711 |
| Ashley M Brittingham | Nurse Practitioner | East Beach Urgent Care LLC | 9545 Shore Dr, Norfolk, VA 23518-1711 |
| Elizabeth M Snyder | Physician Assistant | East Beach Urgent Care LLC | 9545 Shore Dr, Norfolk, VA 23518-1711 |
| James R Komornik | Optometry | 9573 Shore Dr, Suite E, Norfolk, VA 23518-1722 | |
| Jeffrey D. Smith | Chiropractic | 2468 B E Little Creek Rd, Norfolk, VA 23518-3231 | |
| Mary Ann Bailey Henry | Clinical Social Worker | 8301 N View Blvd, Norfolk, VA 23518-3561 | |
| Diana Lyne Wolan | Internal Medicine | Bayview Physician Services PC | 7924 Chesapeake Blvd, Norfolk, VA 23518-3801 |
| Find all physicians in zip 23518 | |||
| City | NORFOLK |
| Zip Code | 23518 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | NORFOLK + DIAGNOSTIC RADIOLOGY |
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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.