Valentina Jordan Moore
PHYSICIAN GROUPS LC


Address: 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207
Phone: 6363441073

Valentina Jordan Moore (NPI# 1639650120, PAC ID# 6901144765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1639650120
PAC ID by PECOS 6901144765
Professional Enrollment ID I20190221000047
Full Name Valentina Jordan Moore
Organization Legal Name PHYSICIAN GROUPS LC
Address 20 Progress Point Pkwy
Suite 206
O Fallon
MO 63368-2207
Phone Number 6363441073
Gender F
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3072421254
Number of Group Practice Members 348
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 6363441073 PHYSICIAN GROUPS LC

Organization Information

Organization Legal Name PHYSICIAN GROUPS LC
Physicians 360

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Office Location

Street Address 20 PROGRESS POINT PKWY
SUITE 206
City O FALLON
State MO
Zip 63368-2207

Physicians in the same location

Name Specialty Organization Address
Michelle L Maloney Nurse Practitioner Physician Groups Lc 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207
Brian Grus Internal Medicine Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Gloria Michelle P Edacheril Nurse Practitioner Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Bridget Doerr Nurse Practitioner Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Genevieve Catherine Matthews Internal Medicine Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Yolanda Bledsoe Internal Medicine Physician Groups Lc 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207
Kirsten M Mcdaniel Obstetrics/gynecology 20 Progress Point Pkwy, Suite 200, O Fallon, MO 63368-2207
Andrew Thomas Blackburne Urology Bjsph Physician Billing Services, LLC 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Christopher Dennis Jaeger Urology Bjsph Physician Billing Services, LLC 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Loria A Lindsey Obstetrics/gynecology 20 Progress Point Pkwy, Suite 200, O Fallon, MO 63368-2207
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Physicians in the same zip code

Name Specialty Organization Address
Austin F Clark Physical Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Jeffrey S Swank Physical Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Benjamin L Schaub Physical Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Donald T Thorsen Occupational Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Theodore S Rummel Orthopedic Surgery Piper Spine Care, PC 2 Progress Point Pkwy, O Fallon, MO 63368-2205
Milton O Ochieng Gastroenterology Physician Groups Lc 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207
Angela C Clercx Nurse Practitioner Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Jamie L Tueth Internal Medicine Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Martin B Ast Cardiovascular Disease (cardiology) Physician Groups Lc 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207
Kendall A Itoku Urology Bjsph Physician Billing Services, LLC 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
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Competitor

Search similar physicians

City O FALLON
Zip Code 63368
Specialty NURSE PRACTITIONER
City + Specialty O FALLON + NURSE PRACTITIONER

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Dataset Information

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.

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