Casondra Rae Moore (NPI# 1932462447, PAC ID# 5890006027) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1932462447 |
| PAC ID by PECOS | 5890006027 |
| Professional Enrollment ID | I20181217003231 |
| Full Name | Casondra Rae Moore |
| Organization Legal Name | INTEGRATED MEDICAL SERVICES INC |
| Address |
7330 N 99th Ave Suite 205 Glendale AZ 85307-3003 |
| Phone Number | 6232091474 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1052328408 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030024 | ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| 030030 | ABRAZO CENTRAL CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 10815 W Mcdowell Rd, Stes 201 203 205 304 305, Avondale, AZ 85392-5007 | 6234330202 | INTEGRATED MEDICAL SERVICES INC |
| 7330 N 99th Ave, Suite 205, Glendale, AZ 85307-3003 | 6232091474 | INTEGRATED MEDICAL SERVICES INC |
| 7330 N 99th Ave, Glendale, AZ 85307-3003 | 6024061663 | SJHMC PHYSICIAN SERVICES C/O DIGNITY HEALTH |
| Organization Legal Name | INTEGRATED MEDICAL SERVICES INC |
| Physicians | 94 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kia Renee Lambeth | Nurse Practitioner | Integrated Medical Services Inc | 10815 W Mcdowell Rd, Stes 201 203 205 304 305, Avondale, AZ 85392-5007 |
| Craig Kenyon Udall | Podiatry | Integrated Medical Services Inc | 14415 W Mcdowell Rd, D102 West Valley Pain Management, Goodyear, AZ 85395-2521 |
| Pranav V Doshi | Interventional Cardiology | Integrated Medical Services Inc | 3815 E Bell Rd, Stes 1300/2300/3200 3300/3600/4100/4110, Phoenix, AZ 85032-2122 |
| Robinette C Reed | Nurse Practitioner | Integrated Medical Services Inc | 1500 S Watson Rd, Suite 104, Buckeye, AZ 85326-8689 |
| Susan E Bray | Physician Assistant | Integrated Medical Services Inc | 1301 S 7th Ave, Phoenix, AZ 85007-3974 |
| John E Vandruff | Family Medicine | Integrated Medical Services Inc | 111 W Cedar Ln A, Payson, AZ 85541-5417 |
| Jane M Barnes | Nurse Practitioner | Integrated Medical Services Inc | 9059 W Lake Pleasant Pkwy, Suite 320, Peoria, AZ 85382-8394 |
| Adhar Seth | Cardiovascular Disease (cardiology) | Integrated Medical Services Inc | 7734 N 59th Ave, Glendale, AZ 85301-7816 |
| Benvinda Pereira | Nurse Practitioner | Integrated Medical Services Inc | 5996 Hospital Dr, Globe, AZ 85501-9462 |
| Kelly L Rauch | Nurse Practitioner | Integrated Medical Services Inc | 4550 E Bell Rd, Bldg 8 Suite 280, Phoenix, AZ 85032-9393 |
| Street Address |
7330 N 99TH AVE SUITE 205 |
| City | GLENDALE |
| State | AZ |
| Zip | 85307-3003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon A King | General Surgery | Arizona Associated Surgeons Pllc | 7330 N 99th Ave, Suite 205, Glendale, AZ 85307-3003 |
| Ryan A Pinnell | General Surgery | Integrated Medical Services Inc | 7330 N 99th Ave, Suite 205, Glendale, AZ 85307-3003 |
| Keng-yu Chuang | Gastroenterology | Sjhmc Physician Services C/o Dignity Health | 7330 N 99th Ave, Suite 200a, Glendale, AZ 85307-3003 |
| Marco Valerio Canulla | General Surgery | 7330 N 99th Ave, Suite 200b, Glendale, AZ 85307-3003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy S Davie | Emergency Medicine | Empower Emergency Physicians, PC | 7300 N 99th Ave, Glendale, AZ 85307-3003 |
| Richard Eugene Saunders | Emergency Medicine | Empower Emergency Physicians, PC | 7300 N 99th Ave, Glendale, AZ 85307-3003 |
| Thomas L Bostwick | Emergency Medicine | Empower Emergency Physicians, PC | 7300 N 99th Ave, Glendale, AZ 85307-3003 |
| City | GLENDALE |
| Zip Code | 85307 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GLENDALE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Casondra Rae 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.