Mr David Rayburn Moore, MD | |
620 East Medical Drive #205, Bountiful, UT 84010 | |
(801) 298-0057 | |
(801) 298-9765 |
Full Name | Mr David Rayburn Moore |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 21 Years |
Location | 620 East Medical Drive #205, Bountiful, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215969837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 44368 (Colorado) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 7549046-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intermountain Medical Center | Murray, UT | Hospital |
Lakeview Hospital | Bountiful, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Gastroenterology Llc | 9830174150 | 48 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Utah Gastroenterology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871689562 PECOS PAC ID: 9830174150 Enrollment ID: O20040621001991 |
Mailing Address | Practice Location Address |
---|---|
Mr David Rayburn Moore, MD 6360 S 3000 E, #220, Salt Lake City, UT 84121-6923 Ph: () - | Mr David Rayburn Moore, MD 620 East Medical Drive #205, Bountiful, UT 84010 Ph: (801) 298-0057 |
Mr. Grant L. Christian, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 425 Medical Drive, Suite 118, Bountiful, UT 84010 Phone: 801-292-1422 Fax: 801-296-0436 | |
Dr. Nedda Beth Hendler, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-294-1044 Fax: 801-292-8369 | |
Dr. William Taylor Sadler, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 415 South Medical Drive, Suite C202, Bountiful, UT 84010 Phone: 801-295-8523 Fax: 801-295-3309 | |
Dr. Joshua Brad Oaks, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Dr Ste 300, Bountiful, UT 84010 Phone: 801-292-1422 Fax: 801-296-0436 | |
Val R Hansen, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 520 Medical Dr, Ste 300, Bountiful, UT 84010 Phone: 801-295-9467 | |
Bryan R. Bartholomew, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Dr Ste 200, Bountiful, UT 84010 Phone: 801-299-7800 | |
Russell Brent Shields, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 425 N Medical Dr, Ste 108, Bountiful, UT 84010 Phone: 801-292-8444 Fax: 801-292-8476 |