Michael Moore (NPI# 1336302280, PAC ID# 7416852561) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1336302280 |
| PAC ID by PECOS | 7416852561 |
| Professional Enrollment ID | I20081003000474 |
| Full Name | Michael Moore |
| Organization Legal Name | BIG SPRINGS MEDICAL ASSOCIATION |
| Address |
202 N Allen St Annapolis MO 63620-8778 |
| Phone Number | 5735984213 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709871007 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260163 | PARKLAND HEALTH CENTER |
| 260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 202 N Allen St, Annapolis, MO 63620-8778 | 5735984213 | BIG SPRINGS MEDICAL ASSOCIATION |
| 110 S 2nd St, Ellington, MO 63638-9400 | 5736632313 | BIG SPRINGS MEDICAL ASSOCIATION |
| 61 Hwy Y, Ellington, MO 63638-7802 | 5736632525 | BIG SPRINGS MEDICAL ASSOCIATION |
| 220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 | 5733992311 | BIG SPRINGS MEDICAL ASSOCIATION |
| Organization Legal Name | BIG SPRINGS MEDICAL ASSOCIATION |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loretta Baker-montgomery | Clinical Social Worker | Big Springs Medical Association | 110 S 2nd St, Ellington, MO 63638-9400 |
| Terra Renee Graves | Clinical Social Worker | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Jamie Murray | Nurse Practitioner | Big Springs Medical Association | 315 W Mulberry B, Pilot Knob, MO 63663 |
| Rebecca Ann Compton | Nurse Practitioner | Big Springs Medical Association | 405 Main St, Van Buren, MO 63965 |
| Adam Khan Kakar | General Practice | Big Springs Medical Association | 18 Viburnum Ctr Rd, Viburnum, MO 65566-7802 |
| Marsha D Shivley | Nurse Practitioner | Big Springs Medical Association | 220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 |
| Amber W Richardson | Psychologist, Clinical | Big Springs Medical Association | 225 Physicians Park, Suite 303, Poplar Bluff, MO 63901-3930 |
| Michelle E Burnham | Nurse Practitioner | Big Springs Medical Association | 220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 |
| Joseph C.f. Camire | Family Medicine | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Judith A Medley | Nurse Practitioner | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
| Street Address |
202 N ALLEN ST |
| City | ANNAPOLIS |
| State | MO |
| Zip | 63620-8778 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Arleen Starnes | Nurse Practitioner | Big Springs Medical Association | 202 N Allen St, Annapolis, MO 63620-8778 |
| Heidi M Allen | Clinical Social Worker | Big Springs Medical Association | 202 N Allen St, Annapolis, MO 63620-8778 |
| Harry Harness | Family Medicine | Big Springs Medical Association | 202 N Allen St, Annapolis, MO 63620-8778 |
| City | ANNAPOLIS |
| Zip Code | 63620 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ANNAPOLIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael 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.