Kennan Ashton Moore (NPI# 1518496660, PAC ID# 9234405234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518496660 |
| PAC ID by PECOS | 9234405234 |
| Professional Enrollment ID | I20190814003642 |
| Full Name | Kennan Ashton Moore |
| Organization Legal Name | CHRISTOPHER W ORENDORFF MD PC |
| Address |
1109 E Cherokee Ave Premier Primary Care Sallisaw OK 74955-5035 |
| Phone Number | 9187903309 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961717426 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370112 | SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT |
| Address | Phone | Organization |
|---|---|---|
| 1109 E Cherokee Ave, Premier Primary Care, Sallisaw, OK 74955-5035 | 9187903309 | CHRISTOPHER W ORENDORFF MD PC |
| Organization Legal Name | CHRISTOPHER W ORENDORFF MD PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda B Davis | Nurse Practitioner | Christopher W Orendorff Md PC | 1109 E Cherokee Ave, Premier Primary Care, Sallisaw, OK 74955-5035 |
| Taylor Rae Chadwell | Clinical Social Worker | Christopher W Orendorff Md PC | 1109 E Cherokee Ave, Premier Primary Care, Sallisaw, OK 74955-5035 |
| Christopher W Orendorff | Family Medicine | Christopher W Orendorff Md PC | 1109 E Cherokee Ave, Premier Primary Care, Sallisaw, OK 74955-5035 |
| Ashley Dawn Moffett | Clinical Social Worker | Christopher W Orendorff Md PC | 1109 E Cherokee Ave, Premier Primary Care, Sallisaw, OK 74955-5035 |
| Street Address |
1109 E CHEROKEE AVE PREMIER PRIMARY CARE |
| City | SALLISAW |
| State | OK |
| Zip | 74955-5035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda B Davis | Nurse Practitioner | Christopher W Orendorff Md PC | 1109 E Cherokee Ave, Premier Primary Care, Sallisaw, OK 74955-5035 |
| Taylor Rae Chadwell | Clinical Social Worker | Christopher W Orendorff Md PC | 1109 E Cherokee Ave, Premier Primary Care, Sallisaw, OK 74955-5035 |
| Christopher W Orendorff | Family Medicine | Christopher W Orendorff Md PC | 1109 E Cherokee Ave, Premier Primary Care, Sallisaw, OK 74955-5035 |
| Ashley Dawn Moffett | Clinical Social Worker | Christopher W Orendorff Md PC | 1109 E Cherokee Ave, Premier Primary Care, Sallisaw, OK 74955-5035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian S Bergstrom | General Surgery | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Kevin D Hannah | Certified Registered Nurse Anesthetist | Sequoyah County City of Sallisaw Hospital Authority | 213 E Redwood Hospital, Sallisaw, OK 74955-2811 |
| Michael D Coleman Jr. | Internal Medicine | Mercy Clinic Fort Smith Communities | 213 E Redwood Ave, Sallisaw, OK 74955-2811 |
| Austin Tanner Brookover | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Jason A Mcelyea | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| John A Carlisle | General Surgery | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Eric A Amberson | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Michael John Boger | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Rafe M Coker | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Billy J. Buffington | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Find all physicians in zip 74955 | |||
| City | SALLISAW |
| Zip Code | 74955 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALLISAW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kennan Ashton 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.