Michael Howard Moore, | |
10820 Parkside Dr, Knoxville, TN 37934-1956 | |
(865) 218-7011 | |
Not Available |
Full Name | Michael Howard Moore |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 10820 Parkside Dr, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811627409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 216342 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 32660 (Tennessee) | Primary |
Entity Name | American Anesthesiology Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
Mailing Address | Practice Location Address |
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Michael Howard Moore, 501 20th St Ste 606, Knoxville, TN 37916-1863 Ph: (865) 331-2278 | Michael Howard Moore, 10820 Parkside Dr, Knoxville, TN 37934-1956 Ph: (865) 218-7011 |
Andrea Kathryn Kottmeier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909 Phone: 865-588-5121 | |
James Ryan Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-342-9098 | |
Michelle L Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Alejandro Conde, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
Elizabeth Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Gregory William Hagopian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Wanda White, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 |