Shanna Marie Moore (NPI# 1144625542, PAC ID# 7810212248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144625542 |
| PAC ID by PECOS | 7810212248 |
| Professional Enrollment ID | I20150206000457 |
| Full Name | Shanna Marie Moore |
| Organization Legal Name | MIDLAND COMMUNITY HEALTHCARE SERVICES |
| Address |
2500 Delano Ave Midland TX 79701-6357 |
| Phone Number | 4326974747 |
| Gender | F |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345230975 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450133 | MIDLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2500 Delano Ave, Midland, TX 79701-6357 | 4326974747 | MIDLAND COMMUNITY HEALTHCARE SERVICES |
| 801 E Florida Ave, Midland, TX 79701-8212 | 4326850450 | MIDLAND COMMUNITY HEALTHCARE SERVICES |
| Organization Legal Name | MIDLAND COMMUNITY HEALTHCARE SERVICES |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose L Saucedo | Nurse Practitioner | Midland Community Healthcare Services | 801 E Florida Ave, Midland, TX 79701-8212 |
| Eliseo Rivera | Obstetrics/gynecology | Midland Community Healthcare Services | 2500 Delano Ave, Midland, TX 79701-6357 |
| Chabacana Liat Maxwell | Nurse Practitioner | Midland Community Healthcare Services | 400 Rosalind Redfern Grover Pkwy, Fl 3, Midland, TX 79701-5846 |
| Michael Emeka Okoye | Internal Medicine | Midland Community Healthcare Services | 801 E Florida Ave, Midland, TX 79701-8212 |
| Tammy L Trollope | Nurse Practitioner | Midland Community Healthcare Services | 801 E Florida Ave, Midland, TX 79701-8212 |
| Trinidad R Marquez | Nurse Practitioner | Midland Community Healthcare Services | 801 E Florida Ave, Midland, TX 79701-8212 |
| Swetha Reddy Jangangari | Internal Medicine | Midland Community Healthcare Services | 801 E Florida Ave, Midland, TX 79701-8212 |
| Leela S Pillarisetty | Obstetrics/gynecology | Midland Community Healthcare Services | 400 Rosalind Redfern Grover Pkwy, Fl 3, Midland, TX 79701-5846 |
| Linda D Mcguire | Certified Nurse Midwife | Midland Community Healthcare Services | 2500 Delano Ave, Midland, TX 79701-6357 |
| Street Address |
2500 DELANO AVE |
| City | MIDLAND |
| State | TX |
| Zip | 79701-6357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eliseo Rivera | Obstetrics/gynecology | Midland Community Healthcare Services | 2500 Delano Ave, Midland, TX 79701-6357 |
| Linda D Mcguire | Certified Nurse Midwife | Midland Community Healthcare Services | 2500 Delano Ave, Midland, TX 79701-6357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Paul Cooper | Physician Assistant | Wes Tex Urgent Care Pllc | 210 W Longview Ave, Suite A, Midland, TX 79701-1932 |
| Jeffrey C. Limbacher | Physician Assistant | Wes Tex Urgent Care Pllc | 210 W Longview Ave, Suite A, Midland, TX 79701-1932 |
| Haley Diane Wilson | Physician Assistant | Wes Tex Urgent Care Pllc | 210 W Longview Ave, Suite A, Midland, TX 79701-1932 |
| Christopher Hendy Bodily | Physician Assistant | Wes Tex Urgent Care Pllc | 210 W Longview Ave, Suite A, Midland, TX 79701-1932 |
| Terry Lane Beck | Emergency Medicine | Wes Tex Urgent Care Pllc | 210 W Longview Ave, Suite A, Midland, TX 79701-1932 |
| Joy Lynn Luke | Optometry | Luke Eye Associates, Lp | 200w Interstate 20, Midland, TX 79701-2030 |
| Charles Jacob Luke | Optometry | Luke Eye Associates, Lp | 200w Interstate 20, Midland, TX 79701-2030 |
| Alfonso S Garcia Jr. | Physical Therapy | 1005 N Midkiff Rd, Midland, TX 79701-2134 | |
| David John Doll | Chiropractic | 1220 N Midkiff Rd, Suite B, Midland, TX 79701-2135 | |
| Mourad L Mansour | Internal Medicine | 3001 W Illinois Ave, Midland, TX 79701-3109 | |
| Find all physicians in zip 79701 | |||
| City | MIDLAND |
| Zip Code | 79701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MIDLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shanna Marie 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.