DR. AYE MYAT MOE (NPI# 1295053833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295053833 |
| Entity Type | Individual |
| Full Name | DR. AYE MYAT MOE |
| Credential | M.D. |
| Practice Address |
100 Mission Blvd Suite 2600 Jackson CA 95642-2536 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 2092571725 |
| Practice Fax Number | 2092571726 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2015-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A122674 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | BP1-0037766 | TX | Student, Health Care |
| Street Address |
100 MISSION BLVD SUITE 2600 |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777662 | Robert Ellsworth Young II | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2005-08-17 |
| 1508209909 | Surgical Affiliates of California, Inc. | Clinic/Center | 100 Mission Blvd, Suite B116, Jackson, CA 95642-2536 | 2013-04-16 |
| 1164794012 | Sutter Valley Hospitals | Clinical Medical Laboratory | 100 Mission Blvd, Jackson, CA 95642-2536 | 2012-02-07 |
| 1033499215 | April Michelle Boitano | Advanced Practice Midwife | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2011-08-19 |
| 1497058473 | Maureen Patricia Mooney-michels | Dietitian, Registered | 100 Mission Blvd, Outpatient Diabetes Education Program, Jackson, CA 95642-2536 | 2010-12-13 |
| 1861644635 | Melanie M Trowbridge | Psychologist | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-10-10 |
| 1760657720 | Yosemite Pathology Medical Group, Inc | Clinical Medical Laboratory | 100 Mission Blvd, Jackson, CA 95642-2536 | 2008-04-29 |
| 1679742951 | Rachel F Clay | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-02-21 |
| 1134293459 | Amy A. Appleton | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642 | 2006-11-20 |
| 1477656932 | Vikram Ramkumar Kumar | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642-2534 | 2006-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224895 | Vpa PC | Pediatrics | 111 E Capitol St Ste 215, Jackson, MS 39201-2108 | 2020-04-21 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1891145850 | Abdullah Sharaf | Pediatrics | 760 W Franklin St # 49201, Jackson, MI 49201-2048 | 2016-06-20 |
| 1427427152 | Karin L Klee Md | Pediatrics | 555 E Broadway Ave Ste 216, Jackson, WY 83001-8640 | 2015-09-23 |
| 1073992699 | Muna Balkash | Pediatrics | 4645 Eagle Dr, Jackson, MI 49201-9748 | 2015-05-28 |
| 1295147809 | Jayasree Vasudevan Nair | Pediatrics | 100 Mission Blvd Ste 2600, Jackson, CA 95642-2536 | 2014-05-30 |
| 1669891099 | Jacquelin Foss Hardenbrook | Pediatrics | 555 E Broadway Ave Ste 202, Jackson, WY 83001-8640 | 2014-04-14 |
| 1871805093 | Jesse Alfred Miller Jr. | Pediatrics | 1804 Hwy 45 Bypass, Jackson, TN 38305 | 2010-07-02 |
| 1861647489 | Elizabeth Keeling Hensley | Pediatrics | 2046 Petit Bois St S, Jackson, MS 39211-6709 | 2008-11-24 |
| 1942469606 | The Children's Clinic of West Tennessee P.a. | Pediatrics | 264 Coatsland Dr, Jackson, TN 38301-3948 | 2008-06-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.