Deirdre Marie Mooney (NPI# 1003041468, PAC ID# 4880836089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY.
| Nation Provider ID (NPI) | 1003041468 |
| PAC ID by PECOS | 4880836089 |
| Professional Enrollment ID | I20170627000377 |
| Full Name | Deirdre Marie Mooney |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
825 Se Bishop Blvd Suite 140 Pullman WA 99163-5517 |
| Phone Number | 5093367357 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 8729258256 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500054 | PROVIDENCE SACRED HEART MEDICAL CENTER |
| 130049 | KOOTENAI HEALTH |
| 501326 | PROVIDENCE MOUNT CARMEL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 825 Se Bishop Blvd, Suite 140, Pullman, WA 99163-5517 | 5093367357 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 62 W 7th Ave, Spokane, WA 99204-2321 | 5094558820 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Alexander Lee Telis | Orthopedic Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Street Address |
825 SE BISHOP BLVD SUITE 140 |
| City | PULLMAN |
| State | WA |
| Zip | 99163-5517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Walters | Nurse Practitioner | Providence Health and Services Washington | 825 Se Bishop Blvd, Suite 140, Pullman, WA 99163-5517 |
| John G Peterson | Interventional Cardiology | Providence Health and Services Washington | 825 Se Bishop Blvd, Suite 140, Pullman, WA 99163-5517 |
| Janice D Christensen | Cardiovascular Disease (cardiology) | Providence Health and Services Washington | 825 Se Bishop Blvd, Suite 140, Pullman, WA 99163-5517 |
| Sandra M Dickey | Physician Assistant | Providence Health and Services Washington | 825 Se Bishop Blvd, Suite 140, Pullman, WA 99163-5517 |
| Kimberly Nollette | Nurse Practitioner | Providence Health and Services Washington | 825 Se Bishop Blvd, Suite 140, Pullman, WA 99163-5517 |
| Susan K Keeling | Qualified Audiologist | Palouse Specialty Physicians Ps | 825 Se Bishop Blvd, Suite 601, Pullman, WA 99163-5517 |
| Thomas Klein | Cardiac Electrophysiology | Providence Health and Services Washington | 825 Se Bishop Blvd, Suite 140, Pullman, WA 99163-5517 |
| Gretchen E James | Physician Assistant | Providence Health and Services Washington | 825 Se Bishop Blvd, Suite 140, Pullman, WA 99163-5517 |
| Helen O Carlson | Family Medicine | Palouse Medical Ps | 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5512 |
| Dennis L Simpson | Internal Medicine | Palouse Medical Ps | 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5512 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathon C Via | Chiropractic | 755 S Grand Ave, Apt 3, Pullman, WA 99163-2161 | |
| James Devleming | Optometry | 238 E Main St, Pullman, WA 99163-2619 | |
| Melanie Lynn Whetstine-richel | Psychologist, Clinical | 254 E Main St, Suite 226, Pullman, WA 99163-2683 | |
| Mark Summerson | Psychologist, Clinical | 254 E Main St, Suite 226, Pullman, WA 99163-2683 | |
| Melody A Volk | Chiropractic | 1125 Nw Nye St, Suite C, Pullman, WA 99163-3404 | |
| Laura N Vannucci | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Brandon K Richards | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Troy T Vannucci | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Brandon J Cridlebaugh | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Sean M Knight | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Find all physicians in zip 99163 | |||
| City | PULLMAN |
| Zip Code | 99163 |
| Specialty | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| City + Specialty | PULLMAN + ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
Please comment or provide details below to improve the information on Deirdre Marie Mooney.
| 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.