Andrea N Moore (NPI# 1528218716, PAC ID# 7012079668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1528218716 |
| PAC ID by PECOS | 7012079668 |
| Professional Enrollment ID | I20160406001608 |
| Full Name | Andrea N Moore |
| Organization Legal Name | BELLEVUE PROFESSIONAL SERVICES INC |
| Address |
1005 W Mcpherson Hwy Clyde OH 43410-1001 |
| Phone Number | 4195474285 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3779485099 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360107 | BELLEVUE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1400 W Main St, Bellevue, OH 44811-9088 | 4194845980 | BELLEVUE PROFESSIONAL SERVICES INC |
| 1400 W Main St, Suite A, Bellevue, OH 44811-9088 | 4194832494 | BELLEVUE PROFESSIONAL SERVICES INC |
| 1005 W Mcpherson Hwy, Clyde, OH 43410-1001 | 4195474285 | BELLEVUE PROFESSIONAL SERVICES INC |
| Organization Legal Name | BELLEVUE PROFESSIONAL SERVICES INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter David Highlander | Podiatry | Bellevue Professional Services Inc | 420 W Mcpherson Hwy, Clyde, OH 43410-1133 |
| Benjamin Edward Ball | Internal Medicine | Bellevue Professional Services Inc | 1005 W Mcpherson Hwy, Clyde, OH 43410-1001 |
| Corey R Fazio | Obstetrics/gynecology | Bellevue Professional Services Inc | 1265 W Main St, Suite A, Bellevue, OH 44811-9055 |
| Marcia Braun | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Bellevue, OH 44811-9015 |
| Lisa Jo Aichholz | Nurse Practitioner | Bellevue Professional Services Inc | 402 W Mcpherson Hwy, Clyde, OH 43410-1133 |
| Gregory Karasik | Obstetrics/gynecology | Bellevue Professional Services Inc | 1400 W Main St, Bellevue, OH 44811-9088 |
| Samuel E Ross | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Suite A, Bellevue, OH 44811-9015 |
| Douglas M Hoy | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Suite A, Bellevue, OH 44811-9015 |
| Pamela Cramer | Nurse Practitioner | Bellevue Professional Services Inc | 1265 W Main St, Suite A, Bellevue, OH 44811-9055 |
| Marc A Naderer | Family Medicine | Bellevue Professional Services Inc | 402 W Mcpherson Hwy, Clyde, OH 43410-1133 |
| Street Address |
1005 W MCPHERSON HWY |
| City | CLYDE |
| State | OH |
| Zip | 43410-1001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Edward Ball | Internal Medicine | Bellevue Professional Services Inc | 1005 W Mcpherson Hwy, Clyde, OH 43410-1001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Kearney | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Matthew N Widmer | Family Medicine | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Jackie Rae Ruttino | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Calley Anne Taylor | Physician Assistant | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Peggy J Hart | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Stephanie Jewell Breault | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Anne M Hahn | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Patricia Ann Hackenburg | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Thomas Jeffrey Foraker | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Mindy M Musser | Physician Assistant | The Cleveland Clinic Foundation | 509 W Mcpherson Hwy, Clyde, OH 43410-1107 |
| Find all physicians in zip 43410 | |||
| City | CLYDE |
| Zip Code | 43410 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CLYDE + OBSTETRICS/GYNECOLOGY |
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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.