Betty K Moore (NPI# 1366746257, PAC ID# 8628254414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1366746257 |
| PAC ID by PECOS | 8628254414 |
| Professional Enrollment ID | I20110511000704 |
| Full Name | Betty K Moore |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Address |
1234 Napier Ave Saint Joseph MI 49085-2112 |
| Phone Number | 2699838300 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1658427042 |
| Number of Group Practice Members | 199 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2699838300 | LAKELAND MEDICAL PRACTICES |
| 2990 Niles Rd, Lakeland General Surgery St Joseph, Saint Joseph, MI 49085-8607 | 2699833368 | LAKELAND MEDICAL PRACTICES |
| 3950 Hollywood Rd, Saint Joseph, MI 49085-9151 | LAKELAND MEDICAL PRACTICES | |
| 3950 Hollywood Rd, Suite 100, St Joseph, MI 49085-9151 | 2694290900 | LAKELAND MEDICAL PRACTICES |
| 5515 Cleveland Ave, Stevensville, MI 49127-9670 | LAKELAND MEDICAL PRACTICES |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Physicians | 207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Daniel Judge | Otolaryngology | Lakeland Medical Practices | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 |
| Deanna Margaret Rucano | Nurse Practitioner | Lakeland Medical Practices | 2500 Niles Ave, 1 Primary Care St Joseph, Saint Joseph, MI 49085-1924 |
| Brandon R Cole | Family Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Kimberlee A Tomerlin | Internal Medicine | Lakeland Medical Practices | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9151 |
| Deanna L Fulbright | Family Medicine | Lakeland Medical Practices | 9045 Us Hwy 31, Berrien Springs, MI 49103-1804 |
| Laurie Ann Gee | Nurse Practitioner | Lakeland Medical Practices | 42 N St Joseph Ave, 201 Swmc Womens Health, Niles, MI 49120-2208 |
| Riddhi Jay Shah | Dermatology | Lakeland Medical Practices | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9136 |
| Michael James Burton | Pulmonary Disease | Lakeland Medical Practices | 3904 Stonegate Park, Saint Joseph, MI 49085-9130 |
| Elizabeth A Mcglothlin | Family Medicine | Lakeland Medical Practices | 1045 E Front St A, Lakeland Medical Practice Buchanan, Buchanan, MI 49107-8474 |
| Pamela J Klint | Nurse Practitioner | Lakeland Medical Practices | 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 |
| Street Address |
1234 NAPIER AVE |
| City | SAINT JOSEPH |
| State | MI |
| Zip | 49085-2112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James G Sisamis Ii | Anesthesiology | Sunset Coast Anesthesia Associates PC | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Diego P Betita | Anesthesiology | Sunset Coast Anesthesia Associates PC | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Miriam Mekila Morgan-skinner | Nurse Practitioner | Lakeland Medical Practices | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Marc D Headapohl | Emergency Medicine | Epmg Southwest Michigan Pllc | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Caitlyn Michele Plonka | Hospitalist | Lakeland Medical Practices | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Albert D Mason | Pathology | Southwest Michigan Pathology Services, PC | 1234 Napier Ave, Lakeland Medical Center, Saint Joseph, MI 49085-2112 |
| Roberto Cuadra | Anesthesiology | Sunset Coast Anesthesia Associates PC | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| David E Chalupa | Physician Assistant | Lakeland Hospitals At Niles and St Joseph Inc | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Robert M Allen | Critical Care (intensivists) | Lakeland Medical Practices | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Lyndsey Marie Brown | Physician Assistant | Lakeland Medical Practices | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Paul Bringard | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Heather L Cotter | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Bruce P Hackworth | Psychologist, Clinical | 811 Ship St, 4b, Saint Joseph, MI 49085-1171 | |
| Thomas E Wilson | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Erik T Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Heather M Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Gary Paul Ludwig | Optometry | 1101 Main St, Saint Joseph, MI 49085-1509 | |
| Janel L Benore | Physical Therapy | 616 Main St, Saint Joseph, MI 49085-1595 | |
| Susan L Startup | Clinical Social Worker | 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085-1615 | |
| Craig F Sherwood | Podiatry | 1901 Niles Ave, Saint Joseph, MI 49085-1615 | |
| Find all physicians in zip 49085 | |||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SAINT JOSEPH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Betty K 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.