Dr Derek Cecil Moore, DO | |
29000 Center Ridge Rd, Suite 150, Westlake, OH 44145-5293 | |
(440) 827-5566 | |
(440) 827-5573 |
Full Name | Dr Derek Cecil Moore |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 29000 Center Ridge Rd, Westlake, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033405220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 05-37542 (Kansas) | Primary |
Entity Name | Newton Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871588533 PECOS PAC ID: 5294646477 Enrollment ID: O20050917000300 |
Entity Name | Cep America - Kansas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659768125 PECOS PAC ID: 3971814286 Enrollment ID: O20150612000623 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek Cecil Moore, DO 156 Somerset Ln Apt 12, Avon Lake, OH 44012-3210 Ph: (620) 845-0116 | Dr Derek Cecil Moore, DO 29000 Center Ridge Rd, Suite 150, Westlake, OH 44145-5293 Ph: (440) 827-5566 |
Sarah Lynn Stoskus, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-835-8000 | |
Dr. Randall Craig Deehring, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-835-8000 | |
Catherine Vermes, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-835-8000 | |
Stephanie Burger, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 570-660-6760 | |
Dr. Roy E Seitz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 29000 Center Ridge Rd, St John Medical Center, Westlake, OH 44145 Phone: 440-835-8000 | |
Christopher Bishop, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-835-8000 |