David R Moore (NPI# 1215969837, PAC ID# 8729091178) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1215969837 |
| PAC ID by PECOS | 8729091178 |
| Professional Enrollment ID | I20101006000905 |
| Full Name | David R Moore |
| Organization Legal Name | UTAH GASTROENTEROLOGY PC |
| Address |
620 Medical Dr Suite 205 Bountiful UT 84010-5173 |
| Phone Number | 8012980057 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2003 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 9830174150 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460042 | LAKEVIEW HOSPITAL |
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 620 Medical Dr, Suite 205, Bountiful, UT 84010-5173 | 8012980057 | UTAH GASTROENTEROLOGY PC |
| 6360 S 3000 E, Suite 310, Salt Lake City, UT 84121-6926 | 8019443188 | UTAH GASTROENTEROLOGY PC |
| Organization Legal Name | UTAH GASTROENTEROLOGY PC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily K Chipping | Certified Registered Nurse Anesthetist (crna) | Utah Gastroenterology PC | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5173 |
| Melissa Yamashiro | Physician Assistant | Utah Gastroenterology PC | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5173 |
| Christopher I Maxwell | Gastroenterology | Utah Gastroenterology PC | 6360 S 3000 E, Suite 310, Salt Lake City, UT 84121-6926 |
| David B Trowbridge | Gastroenterology | Utah Gastroenterology PC | 6360 S 3000 E, Suite 310, Salt Lake City, UT 84121-6926 |
| Blair Honeyman Monell | Physician Assistant | Utah Gastroenterology PC | 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1362 |
| Angela Marie Banz | Physician Assistant | Utah Gastroenterology PC | 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1362 |
| Abbie Lyn Siebenhaar | Physician Assistant | Utah Gastroenterology PC | 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1362 |
| Robert Stuart Bridge | Gastroenterology | Utah Gastroenterology PC | 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1362 |
| Matthew S Saylor | Certified Registered Nurse Anesthetist (crna) | Utah Gastroenterology PC | 6360 S 3000 E, Suite 310, Salt Lake City, UT 84121-6926 |
| Brett W Doxey | Gastroenterology | Utah Gastroenterology PC | 6360 S 3000 E, Suite 310, Salt Lake City, UT 84121-6926 |
| Street Address |
620 MEDICAL DR SUITE 205 |
| City | BOUNTIFUL |
| State | UT |
| Zip | 84010-5173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily K Chipping | Certified Registered Nurse Anesthetist (crna) | Utah Gastroenterology PC | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5173 |
| Melissa Yamashiro | Physician Assistant | Utah Gastroenterology PC | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5173 |
| Gina M Muscolino | Obstetrics/gynecology | Lakeview Hospital Physician Services LLC | 620 Medical Dr, Suite 340, Bountiful, UT 84010-5171 |
| Ryan G Porter | Obstetrics/gynecology | Lakeview Hospital Physician Services LLC | 620 Medical Dr, Suite 340, Bountiful, UT 84010-5171 |
| Travis D Berni | Certified Registered Nurse Anesthetist (crna) | Utah Gastroenterology PC | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5173 |
| Amy Evans | Certified Registered Nurse Anesthetist (crna) | Utah Gastroenterology PC | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5173 |
| Ron W Pulver | Certified Registered Nurse Anesthetist (crna) | Utah Gastroenterology PC | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5173 |
| Laura M Zaugg | Nurse Practitioner | Lakeview Hospital Physician Services LLC | 620 Medical Dr, Bountiful, UT 84010-5171 |
| Christopher C Canale | Gastroenterology | Utah Gastroenterology PC | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5173 |
| Kristina M Sparks | Certified Registered Nurse Anesthetist (crna) | Utah Gastroenterology PC | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5173 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Samuel Wilson | Family Medicine | 1217 E 1650, Bountiful, UT 84010-1586 | |
| Nancy N Pantziris | Psychiatry | 535 E 500, Suite 6, Bountiful, UT 84010-3876 | |
| Ronald K Honey | Occupational Therapy | 2280 S 750, Bountiful, UT 84010-4216 | |
| Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Amanda A Ward | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Mark E Christian | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jason Clark Gubler | Physical Therapy | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| David Cope | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jennifer Crafton | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Sandra M Robinson | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Bountiful, UT 84010-4801 |
| Find all physicians in zip 84010 | |||
| City | BOUNTIFUL |
| Zip Code | 84010 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | BOUNTIFUL + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on David R 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.