Gina L Moore (NPI# 1992786248, PAC ID# 9537244710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1992786248 |
PAC ID by PECOS | 9537244710 |
Professional Enrollment ID | I20080312000258 |
Full Name | Gina L Moore |
Organization Legal Name | WOODLAWN HOSPITAL |
Address |
530 N Michigan Argos Medical Center Argos IN 46501-1134 |
Phone Number | 5748925131 |
Gender | F |
Graduation Year | 2001 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4082506993 |
Number of Group Practice Members | 24 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
151313 | WOODLAWN HOSPITAL |
Address | Phone | Organization |
---|---|---|
530 N Michigan, Argos Medical Center, Argos, IN 46501-1134 | 5748925131 | WOODLAWN HOSPITAL |
Organization Legal Name | WOODLAWN HOSPITAL |
Physicians | 26 |
Name | Specialty | Organization | Address |
---|---|---|---|
Phyllis Ingham | Nurse Practitioner | Woodlawn Hospital | 1400 E 9th St, Rochester, IN 46975-8931 |
Jennifer Marie Sult | Family Medicine | Woodlawn Hospital | 105 St Rd 14, Akron Medical Center, Akron, IN 46910-9121 |
Patricia Nicholson | Nurse Practitioner | Woodlawn Hospital | 1430 E 9th St, Rochester Orthopedic, Rochester, IN 46975-8931 |
Kevin M Obrien | Family Medicine | Woodlawn Hospital | 700 Main St, Rochester, IN 46975-1506 |
Debra F Sanders | Family Medicine | Woodlawn Hospital | 530 N Michigan, Argos Medical Center, Argos, IN 46501-1134 |
Teresa M Perkins | Nurse Practitioner | Woodlawn Hospital | 1400 E 9th St, Rochester, IN 46975-8931 |
Jeffrey Michael Sheedy | Orthopedic Surgery | Woodlawn Hospital | 1400 E 9th St, Rochester, IN 46975-8931 |
Robert E Seward | Obstetrics/gynecology | Woodlawn Hospital | 1400 E 9th St, Rochester, IN 46975-8931 |
Michael J Brubaker | Family Medicine | Woodlawn Hospital | 1400 E 9th St, Rochester, IN 46975-8931 |
John E Nile | General Surgery | Woodlawn Hospital | 1400 E 9th St, Rochester, IN 46975-8931 |
Street Address |
530 N MICHIGAN ARGOS MEDICAL CENTER |
City | ARGOS |
State | IN |
Zip | 46501-1134 |
Name | Specialty | Organization | Address |
---|---|---|---|
Debra F Sanders | Family Medicine | Woodlawn Hospital | 530 N Michigan, Argos Medical Center, Argos, IN 46501-1134 |
Joseph P Binfet | Family Medicine | Woodlawn Hospital | 530 N Michigan, Argos Medical Center, Argos, IN 46501-1134 |
Christopher M Ricketts | General Practice | Woodlawn Hospital | 530 N Michigan, Argos Medical Center, Argos, IN 46501-1134 |
John L Haste | Family Practice | Woodlawn Hospital | 530 N Michigan, Argos Medical Center, Argos, IN 46501-1134 |
City | ARGOS |
Zip Code | 46501 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ARGOS + NURSE PRACTITIONER |
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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.