Victor S Moore (NPI# 1780842799, PAC ID# 7214005693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1780842799 |
| PAC ID by PECOS | 7214005693 |
| Professional Enrollment ID | I20081013000303 |
| Full Name | Victor S Moore |
| Organization Legal Name | EISENHOWER MEDICAL CENTER |
| Address |
4791 E Palm Canyon Dr Suite 100 Palm Springs CA 92264-5232 |
| Phone Number | 7608347930 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890689657 |
| Number of Group Practice Members | 277 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050573 | EISENHOWER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4791 E Palm Canyon Dr, Suite 100, Palm Springs, CA 92264-5232 | 7608347930 | EISENHOWER MEDICAL CENTER |
| Organization Legal Name | EISENHOWER MEDICAL CENTER |
| Physicians | 285 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda B Paul | Internal Medicine | Eisenhower Medical Center | 1555 S Palm Canyon Dr, Bldg C, Palm Springs, CA 92264-8354 |
| Gregory M Apel | Emergency Medicine | Eisenhower Medical Center | 39700 Bob Hope Dr, Suite 101, Rancho Mirage, CA 92270-3269 |
| Benjamin T Mahdi | Family Medicine | Eisenhower Medical Center | 45280 Seeley Dr, Fl 2, La Quinta, CA 92253-6834 |
| Tracey A Gomez | Nurse Practitioner | Eisenhower Medical Center | 40075 Bob Hope Dr, Suite A, Rancho Mirage, CA 92270-3945 |
| John Austin Roberts | Psychiatry | Eisenhower Medical Center | 4791 E Palm Canyon Dr, Suite 200, Palm Springs, CA 92264-5234 |
| Shakti Mahapatra | Obstetrics/gynecology | Eisenhower Medical Center | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 |
| Robert Waterbor | Internal Medicine | Eisenhower Medical Center | 67780 E Palm Canyon Dr, Cathedral City, CA 92234-5441 |
| Glenn M Jabola | Family Medicine | Eisenhower Medical Center | 74020 Alessandro Dr, Suite B, Palm Desert, CA 92260-3707 |
| Aurora L Benson | Family Medicine | Eisenhower Medical Center | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 |
| Gary Y Huang | Internal Medicine | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| Street Address |
4791 E PALM CANYON DR SUITE 100 |
| City | PALM SPRINGS |
| State | CA |
| Zip | 92264-5232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Austin Roberts | Psychiatry | Eisenhower Medical Center | 4791 E Palm Canyon Dr, Suite 200, Palm Springs, CA 92264-5234 |
| Kenneth A Lichtenstein | Internal Medicine | Eisenhower Medical Center | 4791 E Palm Canyon Dr, Suite 100, Palm Springs, CA 92264-5232 |
| Russell G. Hisscock | Family Medicine | Eisenhower Medical Center | 4791 E Palm Canyon Dr, Suite 100, Palm Springs, CA 92264-5232 |
| Jon C Colbert | Nurse Practitioner | Eisenhower Medical Center | 4791 E Palm Canyon Dr, Suite 100, Palm Springs, CA 92264-5232 |
| Ann E Stapleton | Internal Medicine | Eisenhower Medical Center | 4791 E Palm Canyon Dr, Suite 100, Palm Springs, CA 92264-5232 |
| Jonathan G Bechard | Internal Medicine | Eisenhower Medical Center | 4791 E Palm Canyon Dr, Suite 100, Palm Springs, CA 92264-5232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Davis | Chiropractic | 4050 Airport Ctr Dr, Suite G, Palm Springs, CA 92264 | |
| Tuan Ward | Internal Medicine | 38164 Via Lusso, Palm Springs, CA 92264-0226 | |
| Edmund Ayoub | Family Medicine | 3655 E Ramon Rd, Palm Springs, CA 92264-1150 | |
| Mario B Ramos | Family Medicine | 560 S Paseo Dorotea, Suite 2, Palm Springs, CA 92264-1434 | |
| Gabriel De Faria | Physical Therapy | Mdrs Spine and Sport Inc | 552 S Paseo Dorotea, Suite 4, Palm Springs, CA 92264-1437 |
| Job P Lopez | Nurse Practitioner | Albert Anderson Medical Corporation | 552 S Paseo Dorotea, Suite 2, Palm Springs, CA 92264-1437 |
| Janette F Nelson | Physical Therapy | Complete Care Physical Therapy | 552 S Paseo Dorotea, Suite 4, Palm Springs, CA 92264-1437 |
| Emily Rausch | Physical Therapy | Complete Care Physical Therapy | 552 S Paseo Dorotea, Suite 4, Palm Springs, CA 92264-1437 |
| Terry L Gatewood | Clinical Social Worker | Blue Tiger Recovery LLC | 4375 E Calle De Ricardo, Palm Springs, CA 92264-1448 |
| Nora J Baladerian | Psychologist, Clinical | 555 S Sunrise Way, Suite 205, Palm Springs, CA 92264-7869 | |
| Find all physicians in zip 92264 | |||
| City | PALM SPRINGS |
| Zip Code | 92264 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PALM SPRINGS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Victor S 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.