Jo Ann M Moore (NPI# 1104134113, PAC ID# 9638358765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104134113 |
| PAC ID by PECOS | 9638358765 |
| Professional Enrollment ID | I20110121000484 |
| Full Name | Jo Ann M Moore |
| Organization Legal Name | BROWN UROLOGY, INC. |
| Address |
195 Collyer St Providence RI 02904-1869 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810254513 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410007 | RHODE ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 195 Collyer St, Providence, RI 02904-1869 | BROWN UROLOGY, INC. |
| Organization Legal Name | BROWN UROLOGY, INC. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simone Thavaseelan | Urology | Brown Urology, Inc. | 827 N Main St, Suite 4, Providence, RI 02904-5751 |
| Harry M Iannotti | Urology | Brown Urology, Inc. | 195 Collyer St, Suite 104, Providence, RI 02904-1869 |
| Rashmi Licht | Urology | Brown Urology, Inc. | 827 N Main St, Suite 4, Providence, RI 02904-5751 |
| Ahmed Aziz Chaudhary | Radiation Oncology | Brown Urology, Inc. | 827 N Main St, Suite 4, Providence, RI 02904-5751 |
| Steven C Lane | Radiation Oncology | Brown Urology, Inc. | 827 N Main St, Suite 4, Providence, RI 02904-5751 |
| Jacqueline M Joubert | Nurse Practitioner | Brown Urology, Inc. | 195 Collyer St, Suite 201, Providence, RI 02904-1869 |
| Kennon S Miller | Urology | Brown Urology, Inc. | 2 Dudley St, Suite 175, Providence, RI 02905-3246 |
| Gabriella Juliet Avellino | Urology | Brown Urology, Inc. | 2 Dudley St, Suite 175, Providence, RI 02905-3246 |
| Arthur Wang-yan Wong | Urology | Brown Urology, Inc. | 195 Collyer St, Suite 201, Providence, RI 02904-1869 |
| Dragan Golijanin | Urology | Brown Urology, Inc. | 195 Collyer St, Suite 104, Providence, RI 02904-1869 |
| Street Address |
195 COLLYER ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02904-1869 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thaddeus Herliczek | Diagnostic Radiology | Rhode Island Medical Imaging | 195 Collyer St, Providence, RI 02904-1869 |
| Dawn Drake | Nurse Practitioner | University Surgical Associates, Inc. | 195 Collyer St, Suite 302, Providence, RI 02904-1869 |
| Harry M Iannotti | Urology | Brown Urology, Inc. | 195 Collyer St, Suite 104, Providence, RI 02904-1869 |
| Jacqueline M Joubert | Nurse Practitioner | Brown Urology, Inc. | 195 Collyer St, Suite 201, Providence, RI 02904-1869 |
| Sun H Ahn | Diagnostic Radiology | Rhode Island Medical Imaging | 195 Collyer St, Providence, RI 02904-1869 |
| Sunhe Fusco | Nurse Practitioner | University Surgical Associates, Inc. | 195 Collyer St, Suite 302, Providence, RI 02904-1869 |
| Jennifer C Fuller | Physician Assistant | Rhode Island Medical Imaging | 195 Collyer St, Providence, RI 02904-1869 |
| Sivamainthan Vithiananthan | General Surgery | University Surgical Associates, Inc. | 195 Collyer St, Suite 302, Providence, RI 02904-1869 |
| Cristina Ruggieri | Physician Assistant | University Surgical Associates, Inc. | 195 Collyer St, Suite 302, Providence, RI 02904-1869 |
| Arthur Wang-yan Wong | Urology | Brown Urology, Inc. | 195 Collyer St, Suite 201, Providence, RI 02904-1869 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Patterson | Vascular Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | |
| Nishit Shah | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Adam Klipfel | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Fredric V Christian | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Roger D Raymond | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Michelle Kristen Finkelman | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Olivia Macaskill | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Susan P Emaus | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Kenneth S Korr | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Providence, RI 02904-1560 |
| Find all physicians in zip 02904 | |||
| City | PROVIDENCE |
| Zip Code | 02904 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PROVIDENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jo Ann 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.