Simon Mendoza Moreno (NPI# 1902298987, PAC ID# 5496043176) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1902298987 |
| PAC ID by PECOS | 5496043176 |
| Professional Enrollment ID | I20161012002071 |
| Full Name | Simon Mendoza Moreno |
| Organization Legal Name | DISPATCHHEALTH WASHINGTON PC |
| Address |
1411 4th Ave Seattle WA 98101-2249 |
| Phone Number | 3035001518 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2062765423 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500016 | CENTRAL WASHINGTON HOSPITAL |
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| 500148 | CONFLUENCE HEALTH- WENATCHEE VALLEY HOSP & CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 1411 4th Ave, Seattle, WA 98101-2249 | 3035001518 | DISPATCHHEALTH WASHINGTON PC |
| 600 Orondo Ave, Suite 1, Wenatchee, WA 98801-2800 | 5096626000 | COLUMBIA VALLEY COMMUNITY HEALTH |
| Organization Legal Name | DISPATCHHEALTH WASHINGTON PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan L Passero | Nurse Practitioner | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Leisa S Garrett | Physician Assistant | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Tyler J Harrington | Physician Assistant | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Heather J Mckinney | Nurse Practitioner | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Sharon Marie-claire Pitre | Nurse Practitioner | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Colleen Lynn Graey | Nurse Practitioner | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Edwin Cuevas | Physician Assistant | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Matthew M Hassen | Physician Assistant | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Jaclyn A Henkhaus | Nurse Practitioner | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Aaron Gene Waddell | Physician Assistant | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Street Address |
1411 4TH AVE |
| City | SEATTLE |
| State | WA |
| Zip | 98101-2249 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan L Passero | Nurse Practitioner | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Leisa S Garrett | Physician Assistant | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Tyler J Harrington | Physician Assistant | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Heather J Mckinney | Nurse Practitioner | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Sharon Marie-claire Pitre | Nurse Practitioner | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Colleen Lynn Graey | Nurse Practitioner | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Edwin Cuevas | Physician Assistant | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Matthew M Hassen | Physician Assistant | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Jaclyn A Henkhaus | Nurse Practitioner | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Aaron Gene Waddell | Physician Assistant | Dispatchhealth Washington PC | 1411 4th Ave, Seattle, WA 98101-2249 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy M Forslund | Psychiatry | 1932 1st Ave, Suite 604, Seattle, WA 98101-1040 | |
| Cynthia P Ruggeiro | Optometry | 1906 Pike Pl, Suite 8, Seattle, WA 98101-1055 | |
| Liza Redding | Clinical Social Worker | Neighborcare Health | 1930 Post Aly, Seattle, WA 98101-1074 |
| Virginia Arnold | Nurse Practitioner | Neighborcare Health | 1930 Post Aly, Seattle, WA 98101-1074 |
| Alexis A Mckeown | Podiatry | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1078 | |
| Patricia M Feiten | Optometry | 1918 3rd Ave, Seattle, WA 98101-1105 | |
| Dennis Michael Coy | Clinical Social Worker | 1904 3rd Ave, Suite 614, Seattle, WA 98101-1160 | |
| Mary Jane Golden | Clinical Social Worker | 1904 3rd Ave, Seattle, WA 98101-1160 | |
| Fred L Trousdale | Clinical Social Worker | 1904 3rd Ave, Suite 730, Seattle, WA 98101-1172 | |
| Connor Mcgee | Physical Therapy | Therapeutic Associates Inc | 600 Stewart St, Suite 1116, Seattle, WA 98101-1217 |
| Find all physicians in zip 98101 | |||
| City | SEATTLE |
| Zip Code | 98101 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SEATTLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Simon Mendoza Moreno.
| 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.