Roderick Moore (NPI# 1104978238, PAC ID# 6305956871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1104978238 |
PAC ID by PECOS | 6305956871 |
Professional Enrollment ID | I20120209000355 |
Full Name | Roderick Moore |
Address |
17311 135th Ave Ne A600 Woodinville WA 98072-3579 |
Phone Number | 4254817055 |
Gender | M |
Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
Graduation Year | 1981 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
17311 135th Ave Ne, A600, Woodinville, WA 98072-3579 | 4254817055 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Street Address |
17311 135TH AVE NE A600 |
City | WOODINVILLE |
State | WA |
Zip | 98072-3579 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sima Rafii Malek | Nurse Practitioner | Simas Clinic Inc | 13317 Ne 175th St N, Woodinville, WA 98072-3517 |
Bernard C Bansil | Physical Therapy | Redmond Physical Therapy LLC | 13930 Ne 178th Pl, 112 Irg Physical Therapy of Woodinville, Woodinville, WA 98072-3531 |
Christopher Villarosa | Physical Therapy | Redmond Ridge Physical Therapy Pllc | 13930 Ne 178th Pl, Suite 112, Woodinville, WA 98072-3571 |
Anna M Doucett | Occupational Therapy | Therapy Management Services, Pllc | 17924 140th Ave Ne, Suite 200, Woodinville, WA 98072-4315 |
Natalie S Allen | Occupational Therapy | Therapy Management Services, Pllc | 17924 140th Ave Ne, Suite 200, Woodinville, WA 98072-4315 |
Gina Sue Yuasa | Occupational Therapy | Therapy Management Services, Pllc | 17924 140th Ave Ne, Suite 200, Woodinville, WA 98072-4315 |
Jon E Berner | Psychiatry | 18500 156th Ave Ne, Suite 100, Woodinville, WA 98072-4459 | |
Breck R Butterfield | Chiropractic | 18500 156th Ave Ne, Suite 205, Woodinville, WA 98072-4459 | |
Robert B Devney | Psychiatry | 18500 156th Ave Ne, Suite 100, Woodinville, WA 98072-4470 | |
Lynn L Albertson | Nurse Practitioner | 13110 Ne 177th Pl, Suite B102, Woodinville, WA 98072-5742 | |
Find all physicians in zip 98072 |
City | WOODINVILLE |
Zip Code | 98072 |
Specialty | PODIATRY |
City + Specialty | WOODINVILLE + PODIATRY |
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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.