PATRICK DANIEL MOORE (NPI# 1396998134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396998134 |
Entity Type | Organization |
Organization Name | PATRICK DANIEL MOORE |
Other Organization Name | MOORE FOOT CLINIC |
Practice Address |
3811 29th Ave Ste 3 Kearney NE 68845-1280 |
Practice Telephone | 3082372621 |
Practice Fax Number | 3082372023 |
Mailing Telephone | 3082372621 |
Mailing Fax Number | 3082372023 |
Enumeration Date | 2008-10-24 |
Last Update Date | 2010-11-19 |
Authorized Official Name | DR. PATRICK DANIEL MOORE (SOLE PROPRIETOR) |
Authorized Official Telephone | 3082372621 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
265 | NE | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
INDIVIDUAL NPI | 1558321505 | 01 |
Other Name | Type Code |
---|---|
Moore Foot Clinic | Doing Business As Name - Organization |
Street Address |
3811 29TH AVE STE 3 |
City | KEARNEY |
State | NE |
Zip Code | 68845-1280 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558321505 | Patrick Daniel Moore | Podiatrist | 3811 29th Ave, Ste3, Kearney, NE 68845-1280 | 2006-03-24 |
1316101546 | Judith A Harms | Orthotic Fitter | 3811 29th Ave, Suite #4, Kearney, NE 68845-1280 | 2008-07-16 |
1326202557 | James R Sedlak | Orthotic Fitter | 3811 29th Ave, Suite #4, Kearney, NE 68845-1280 | 2008-07-16 |
1164686390 | Mandi J Sedlak | Orthotic Fitter | 3811 29th Ave, Suite #4, Kearney, NE 68845-1280 | 2008-07-16 |
1194827394 | Whitney Schneider | Speech-Language Pathologist | 3811 29th Ave, Suite 2, Kearney, NE 68845-1280 | 2006-09-01 |
1740245869 | Women's Orthotics & Prosthestics Healthcare Services, Inc. | Durable Medical Equipment & Medical Supplies | 3811 29th Ave, Suite 4, Kearney, NE 68845-1280 | 2006-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
Find all providers in zip 68845 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407286974 | Elite Foot and Ankle Specialists | Podiatrist | 16312 Sheffield Cir, Bennington, NE 68007-1863 | 2013-11-20 |
1881887263 | Blayne H Mccaffrey | Podiatrist | 1105 S 13th St Ste 201, Norfolk, NE 68701-5767 | 2007-08-20 |
1417038365 | Eric Eugene Sluiter | Podiatrist | 7828 Wakeley Plz, Omaha, NE 68114-3650 | 2006-10-18 |
1740399765 | Eric C Palmquist | Podiatrist | 3821 N 167th Ct, Suite 115, Omaha, NE 68116-8070 | 2006-08-30 |
1548225816 | Jon R Goldsmith | Podiatrist | 6829 N 72nd St, Suite 7500, Omaha, NE 68122-1723 | 2006-04-19 |
1093789554 | Nicholas G. Olari | Podiatrist | 9006 Ohio St Ste 1, Omaha, NE 68134-6139 | 2006-02-13 |
1275504482 | Michael Drews | Podiatrist | 12115 Pacific St, Omaha, NE 68154-3527 | 2006-01-27 |
1316934946 | Robert J Hilkemann | Podiatrist | 7337 Dodge St, Omaha, NE 68114-3613 | 2005-09-29 |
1366448649 | Scott C Nelson | Podiatrist | 16909 Lakeside Hills Ct, Ste 208, Omaha, NE 68130-4664 | 2005-06-22 |
1851394738 | Philip B Sextro | Podiatrist | 620 Diers Ave, Grand Island, NE 68802-5020 | 2005-05-24 |
Find all providers with the same taxonomy |
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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.