Nicholas B Moore (NPI# 1073875928, PAC ID# 5395965891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073875928 |
| PAC ID by PECOS | 5395965891 |
| Professional Enrollment ID | I20150731014238 |
| Full Name | Nicholas B Moore |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
1475 Kisker Rd Suite 200 Saint Charles MO 63304-8788 |
| Phone Number | 6364985850 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| 260191 | BARNES-JEWISH ST PETERS HOSPITAL |
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| Address | Phone | Organization |
|---|---|---|
| 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8788 | 6364985850 | SSM MEDICAL GROUP INC |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
1475 KISKER RD SUITE 200 |
| City | SAINT CHARLES |
| State | MO |
| Zip | 63304-8788 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cora A Snyders | Nurse Practitioner | Ssm Health Care St Louis | 1475 Kisker Rd, Saint Charles, MO 63304-8781 |
| Debra E Solom | Nurse Practitioner | Ssm Medical Group Inc | 1475 Kisker Rd, Suite 180, Saint Charles, MO 63304-8786 |
| Sophie I Liu | Podiatry | Family Foot Care LLC | 1475 Kisker Rd, Suite 260, Saint Charles, MO 63304-8788 |
| Donald E Binz Ii | Family Medicine | Ssm Medical Group Inc | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8788 |
| Cecelia G Pratt | Nurse Practitioner | Ssm Health Care St Louis | 1475 Kisker Rd, Saint Charles, MO 63304-8781 |
| Thomas Frederick Satterly Iii | Orthopedic Surgery | Ssm Medical Group Inc | 1475 Kisker Rd, Suite 100, Saint Charles, MO 63304-8787 |
| Katherine M Dewey | Obstetrics/gynecology | Ssm Medical Group Inc | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8788 |
| Sam G Bishara | Cardiovascular Disease (cardiology) | Ssm Medical Group Inc | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8788 |
| Sheigh N Sander | Obstetrics/gynecology | Ssm Medical Group Inc | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8788 |
| Demetrios V Politis | Family Medicine | Ssm Medical Group Inc | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8788 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph R Sturges | Chiropractic | 1575 Kisker Rd, Saint Charles, MO 63304-0608 | |
| Jennifer L Kiernan | Optometry | Clarkson Optometry Inc | 6157 Mid Rivers Mall Dr, Saint Peters, MO 63304-1105 |
| Jerome E Holliday | Psychologist, Clinical | 1033 Caulks Hill Rd, Saint Charles, MO 63304-2613 | |
| Heidi Paulsen | Registered Dietitian Or Nutrition Professional | 1335 Ramona Ln, Saint Charles, MO 63304-6718 | |
| Fatiha K Mccaine | Chiropractic | 4231 N St Peters Pkwy, St Peters, MO 63304-7384 | |
| Brian P Hu | Physical Therapy | Cvpt-st Charles LLC | 4075 N Saint Peters Pkwy, Saint Peters, MO 63304-7396 |
| Lauren E Luthans | Physical Therapy | Cvpt-st Charles LLC | 4075 N Saint Peters Pkwy, Saint Peters, MO 63304-7396 |
| Quinn J James | Chiropractic | 4249 N St Peters Pkwy A, Saint Peters, MO 63304-7442 | |
| Kenneth L Inchiostro | Chiropractic | 1043 A Wolfrum Rd, Weldon Spring, MO 63304-7644 | |
| Brandon R Maxwell | Chiropractic | 1090 Wolfrum Rd, Weldon Spring, MO 63304-7795 | |
| Find all physicians in zip 63304 | |||
| City | SAINT CHARLES |
| Zip Code | 63304 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT CHARLES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nicholas B 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.