| Michael J Moore, CRNA | |
|
305 S State St, Aberdeen, SD 57401-4527 | |
| (605) 622-5000 | |
| (605) 622-5255 |
| Full Name | Michael J Moore |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 305 S State St, Aberdeen, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215008891 | NPI | - | NPPES |
| R35918 | Other | SD | DAKOTACARE |
| 0002489 | Other | SD | BLUE CROSS |
| 035918 | Other | SD | CRNA CERTIFICATION |
| 5752422 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R025845 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Moore, CRNA Po Box 4450, Aberdeen, SD 57402-4450 Ph: (605) 622-5000 | Michael J Moore, CRNA 305 S State St, Aberdeen, SD 57401-4527 Ph: (605) 622-5000 |
Thomas R Schuster, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2905 3rd Ave Se, Aberdeen, SD 57401 Phone: 605-626-4200 Fax: 605-626-4211 | |
Eloy P Malsom, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 8th Ave Nw, Aberdeen, SD 57401 Phone: 605-225-3300 | |
Anne Elizabeth Teachout, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5542 | |
David Fischer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Jennifer L Timm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Richard James Bartl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5127 |