Joseph J Moore (NPI# 1104823277, PAC ID# 5294859104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104823277 |
| PAC ID by PECOS | 5294859104 |
| Professional Enrollment ID | I20100830000694 |
| Full Name | Joseph J Moore |
| Organization Legal Name | CHICKAHOMINY FAMILY PRACTICE INC |
| Address |
9010 Pocahontas Trl Providence Forge VA 23140-3400 |
| Phone Number | 8049321020 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719977560 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490069 | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER |
| 490094 | BON SECOURS RICHMOND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 | 8049321020 | CHICKAHOMINY FAMILY PRACTICE INC |
| 2660 New Market Rd, Richmond, VA 23231-7408 | 8047951144 | CHICKAHOMINY FAMILY PRACTICE INC |
| Organization Legal Name | CHICKAHOMINY FAMILY PRACTICE INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Kavanaugh Sparrow Jr. | Family Medicine | Chickahominy Family Practice Inc | 2660 New Market Rd, Richmond, VA 23231-7408 |
| Anup Jagdish Gokli | Family Medicine | Chickahominy Family Practice Inc | 1850 Pocahontas Trail, Quinton, VA 23141 |
| Mona Kaur | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Carol A Lund | Physician Assistant | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| John Peter Kowalski | Family Medicine | Chickahominy Family Practice Inc | 2660 New Market Rd, Richmond, VA 23231-7408 |
| Margaret Mountcastle | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Mary E Vann | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Cara Dillon Hoover | Nurse Practitioner | Chickahominy Family Practice Inc | 2660 New Market Rd, Richmond, VA 23231-7408 |
| Dennis Lee Thomas | Family Medicine | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Mankanchan Sachdev Majhail | Nurse Practitioner | Chickahominy Family Practice Inc | 2660 New Market Rd, Richmond, VA 23231-7408 |
| Street Address |
9010 POCAHONTAS TRL |
| City | PROVIDENCE FORGE |
| State | VA |
| Zip | 23140-3400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mona Kaur | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Carol A Lund | Physician Assistant | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Margaret Mountcastle | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Mary E Vann | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Dennis Lee Thomas | Family Medicine | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Margaret Cox | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice V Atwell | Clinical Social Worker | Henrico County | 9403 Pocohontas Trail, Providence Forge, VA 23140 |
| Douglas A Brown | Psychiatry | Henrico County | 9403 Pocohontas Trail, Providence Forge, VA 23140 |
| Deborah Renee Crutchfield | Nurse Practitioner | Henrico County | 9403 Pocohontas Trail, Providence Forge, VA 23140 |
| City | PROVIDENCE FORGE |
| Zip Code | 23140 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PROVIDENCE FORGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Joseph J 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.