Michael M Moore (NPI# 1356329577, PAC ID# 5698781805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.
| Nation Provider ID (NPI) | 1356329577 |
| PAC ID by PECOS | 5698781805 |
| Professional Enrollment ID | I20100910000117 |
| Full Name | Michael M Moore |
| Organization Legal Name | ARKANSAS SPECIALTY CARE CENTERS, PA |
| Address |
1525 Country Club Rd Sherwood AR 72120-5076 |
| Phone Number | 5019783135 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | HAND SURGERY |
| Group Practice PAC ID | 1456256031 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| 040007 | CHI-ST VINCENT INFIRMARY |
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 600 S Mckinley St, Little Rock, AR 72205-5202 | 5016633647 | ARKANSAS SPECIALTY CARE CENTERS, PA |
| 1525 Country Club Rd, Sherwood, AR 72120-5076 | 5019783135 | ARKANSAS SPECIALTY CARE CENTERS, PA |
| Organization Legal Name | ARKANSAS SPECIALTY CARE CENTERS, PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle M Ashcraft | Nurse Practitioner | Arkansas Specialty Care Centers, Pa | 1525 Country Club Rd, Sherwood, AR 72120-5076 |
| Lois N Mackie | Occupational Therapy | Arkansas Specialty Care Centers, Pa | 1525 Country Club Rd, Sherwood, AR 72120-5076 |
| Street Address |
1525 COUNTRY CLUB RD |
| City | SHERWOOD |
| State | AR |
| Zip | 72120-5076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle M Ashcraft | Nurse Practitioner | Arkansas Specialty Care Centers, Pa | 1525 Country Club Rd, Sherwood, AR 72120-5076 |
| Lois N Mackie | Occupational Therapy | Arkansas Specialty Care Centers, Pa | 1525 Country Club Rd, Sherwood, AR 72120-5076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany B Boyette | Optometry | Ronald A. Burks Od Pa | 305 E Kiehl, Sherwood, AR 72120-2921 |
| Jane F Miers | Pediatric Medicine | Arkansas Health Group | 1308 E Kiehl Ave, Sherwood, AR 72120-3040 |
| Kaitlin E Cockerell | Pediatric Medicine | Arkansas Health Group | 1308 E Kiehl Ave, Sherwood, AR 72120-3040 |
| Audra A Nosal | Physician Assistant | Arkansas Health Group | 1308 E Kiehl Ave, Sherwood, AR 72120-3040 |
| Devon R Ballard | Family Medicine | Arkansas Health Group | 1308 E Kiehl Ave, Sherwood, AR 72120-3040 |
| Cynthia G Rowe | Family Medicine | Arkansas Health Group | 1308 E Kiehl Ave, Sherwood, AR 72120-3040 |
| John A Cockerell | Family Medicine | Arkansas Health Group | 1308 E Kiehl Ave, Sherwood, AR 72120-3040 |
| Martha L Rueda | Family Medicine | Arkansas Health Group | 1308 E Kiehl Ave, Sherwood, AR 72120-3040 |
| David B Gerson | Family Medicine | Arkansas Health Group | 1308 E Kiehl Ave, Sherwood, AR 72120-3040 |
| William K Riley | Family Practice | Arkansas Health Group | 1308 E Kiehl Ave, Sherwood, AR 72120-3040 |
| Find all physicians in zip 72120 | |||
| City | SHERWOOD |
| Zip Code | 72120 |
| Specialty | HAND SURGERY |
| City + Specialty | SHERWOOD + HAND SURGERY |
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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.