Dana M Moore (NPI# 1922330208, PAC ID# 8527360767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1922330208 |
| PAC ID by PECOS | 8527360767 |
| Professional Enrollment ID | I20160106000166 |
| Full Name | Dana M Moore |
| Organization Legal Name | COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION |
| Address |
907 Polk St Mansfield LA 71052-2520 |
| Phone Number | 3188721015 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022043710 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190090 | WINN PARISH MEDICAL CENTER |
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 907 Polk St, Mansfield, LA 71052-2520 | 3188721015 | COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION |
| Organization Legal Name | COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alesha N Simmons | Nurse Practitioner | Council for Advancement of Social Service and Education | 907 Polk St, Mansfield, LA 71052-2520 |
| Thresa Hargrave | Nurse Practitioner | Council for Advancement of Social Service and Education | 2120 Bert Kouns Industrial Loop, Shreveport, LA 71118-3351 |
| Nina Fertitta | Obstetrics/gynecology | Council for Advancement of Social Service and Education | 2120 Bert Kouns Industrial Loop, Shreveport, LA 71118-3351 |
| Joanna J Poole | Nurse Practitioner | Council for Advancement of Social Service and Education | 2120 Bert Kouns Industrial Loop, Shreveport, LA 71118-3351 |
| Naquita L Webb | Internal Medicine | Council for Advancement of Social Service and Education | 907 Polk St, Mansfield, LA 71052-2520 |
| Street Address |
907 POLK ST |
| City | MANSFIELD |
| State | LA |
| Zip | 71052-2520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alesha N Simmons | Nurse Practitioner | Council for Advancement of Social Service and Education | 907 Polk St, Mansfield, LA 71052-2520 |
| Naquita L Webb | Internal Medicine | Council for Advancement of Social Service and Education | 907 Polk St, Mansfield, LA 71052-2520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noel S Taylor | Optometry | 405 Polk St, Mansfield, LA 71052-2400 | |
| Pete Wardell | Optometry | Natchitoches Family Eye Care LLC | 405 Polk St Desoto Family Eye Care, Natchitoches Family Eye Care, Mansfield, LA 71052-2400 |
| Michael D Huff | Chiropractic | 1126 Polk St, Mansfield, LA 71052-2525 | |
| Nima A Alinejad | Emergency Medicine | Desoto Regional Family Medicine | 130 Jefferson St, Mansfield, LA 71052-2602 |
| Jeffrey L Evans | Family Practice | Desoto Regional Family Medicine | 130 Jefferson St, Mansfield, LA 71052-2602 |
| Denis F Kamberov | Internal Medicine | Desoto Regional Family Medicine | 130 Jefferson St, Mansfield, LA 71052-2602 |
| Lori Eubanks | Nurse Practitioner | Desoto Regional Family Medicine | 130 Jefferson St, Mansfield, LA 71052-2602 |
| Patrick Leopard | Diagnostic Radiology | Diagnostic Imaging Associates | 207 Jefferson St, Mansfield, LA 71052-2603 |
| Gary V Burton | Hematology/oncology | Desoto Hospital Association | 207 Jefferson St, Mansfield, LA 71052-2603 |
| Claire A Bradley | Psychiatry | Desoto Hospital Association | 207 Jefferson St, Mansfield, LA 71052-2603 |
| Find all physicians in zip 71052 | |||
| City | MANSFIELD |
| Zip Code | 71052 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MANSFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dana M 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.