Carol J Moore (NPI# 1801856927, PAC ID# 8426072828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1801856927 |
| PAC ID by PECOS | 8426072828 |
| Professional Enrollment ID | I20060125000087 |
| Full Name | Carol J Moore |
| Address |
11308 Distinctive Dr Orland Park IL 60467-9459 |
| Gender | F |
| Credential | DPM |
| Graduation Year | 1988 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140191 | INGALLS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11308 Distinctive Dr, Orland Park, IL 60467-9459 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Street Address |
11308 DISTINCTIVE DR |
| City | ORLAND PARK |
| State | IL |
| Zip | 60467-9459 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mala Hajat | Internal Medicine | Hajat Ltd | 10723 Winterset Dr, Orland Park, IL 60467-1106 |
| Vinish Manchanda | Physical Therapy | Caring Therapeutics, P.C. | 10723 Winterset Dr, Orland Park, IL 60467-1106 |
| Farrukh Aijaz | Pathology | Renuka H Bhatt Mdsc | 10811 W 143rd St, Orland Park, IL 60467-1913 |
| Michael J Faber | Chiropractic | South Suburban Chiropractic Clinic Sc | 14277 Wolf Rd, Orland Park, IL 60467-1932 |
| Mark R Grennell | Chiropractic | South Suburban Chiropractic Clinic Sc | 14277 Wolf Rd, Orland Park, IL 60467-1932 |
| Jessica Burchett | Physical Therapy | Team Rehabilitation Il10 LLC | 11215 W 159th St, Orland Park, IL 60467-4416 |
| Kathryn Budz | Physical Therapy | Team Rehabilitation Il10 LLC | 11215 W 159th St, Orland Park, IL 60467-4416 |
| Daniel J Green | Physical Therapy | Team Rehabilitation Il10 LLC | 11215 W 159th St, Orland Park, IL 60467-4416 |
| Jakob Franz Awender | Physical Therapy | Team Rehabilitation Il10 LLC | 11215 W 159th St, Orland Park, IL 60467-4416 |
| Cowan C Brown | Physical Therapy | Team Rehabilitation Il10 LLC | 11215 W 159th St, Orland Park, IL 60467-4416 |
| Find all physicians in zip 60467 | |||
| City | ORLAND PARK |
| Zip Code | 60467 |
| Specialty | PODIATRY |
| City + Specialty | ORLAND PARK + PODIATRY |
Please comment or provide details below to improve the information on Carol J 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.