JEFFREY S. MOORE MD AND ELISHA T. POWELL IV MD LLC


Address: 2751 Debarr Rd, Suite 310, Anchorage, AK 99508-2953
Phone: 9072792663

JEFFREY S. MOORE MD AND ELISHA T. POWELL IV MD LLC (NPI# 1467502567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467502567
Entity Type Organization
Organization Name JEFFREY S. MOORE MD AND ELISHA T. POWELL IV MD LLC
Practice Address 2751 Debarr Rd
Suite 310
Anchorage
AK 99508-2953
Mailing Address Po Box 772292
Eagle River
AK 99577-2292
Practice Telephone 9072792663
Practice Fax Number 9072221774
Mailing Telephone 9078622663
Mailing Fax Number 9072221774
Enumeration Date 2007-01-11
Last Update Date 2011-08-29
Authorized Official Name MRS. ANDREA RITA MCGUIRE (BILLING MANAGER)
Authorized Official Telephone 9078622663
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
3797 AK Allopathic & Osteopathic Physicians

Office Location

Street Address 2751 DEBARR RD
SUITE 310
City ANCHORAGE
State AK
Zip Code 99508-2953

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NPI Name Taxonomy Address Enumeration
1548267032 Kerrie Rochelle Bossard Surgery 2751 Debarr Rd, Suite 280, Anchorage, AK 99508-2952 2005-06-30
1265848295 Orthopedic Physicians Anchorage Durable Medical Equipment & Medical Supplies 2751 Debarr Rd, Suite B-310, Anchorage, AK 99508-2952 2014-07-10
1902038276 Mary K Downs, Md Psychiatry & Neurology 2751 Debarr Rd, Suite 403, Anchorage, AK 99508-2952 2009-08-19
1174716104 Alaska Women's Advanced Pelvic Surgery & Urogynecology LLC Durable Medical Equipment & Medical Supplies 2751 Debarr Rd, Suite 340, Anchorage, AK 99508-2953 2007-08-23
1801086731 Jerry M. Orren Md Apc Obstetrics & Gynecology 2751 Debarr Rd, Suite 360, Anchorage, AK 99508-2953 2007-07-26
1568660835 Daniel C. Rossi Surgery 2751 Debarr Rd, Suite 280, Anchorage, AK 99508-2952 2007-07-06
1689876401 Rhene Merkouris Md PC Specialist 2751 Debarr Rd, Ste B-285, Anchorage, AK 99508-2953 2007-06-04
1407971369 John P. Muffoletto Md, PC Surgery 2751 Debarr Rd, Suite 290, Anchorage, AK 99508-2953 2007-03-20
1922123843 John P Muffoletto Surgery 2751 Debarr Rd, Suite 290, Anchorage, AK 99508-2953 2007-03-20
1780729400 Mark Owen Mcvee Radiology 2751 Debarr Rd, Suite 390, Anchorage, AK 99508-2952 2007-02-20
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NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
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1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972535417 Herbert O Bote Orthopaedic Surgery 289 N Fireweed St Ste B, Soldotna, AK 99669-7570 2006-07-07
1942840038 Hci Ortho Orthopaedic Surgery 289 N Fireweed St Ste D, Soldotna, AK 99669-7570 2020-01-07
1285000497 Hciortho Orthopaedic Surgery 289 N Fireweed St Ste B, Soldotna, AK 99669-7570 2015-08-11
1922127992 Cary S Keller Md PC Orthopaedic Surgery 1919 Lathrop St, Suite 105, Fairbanks, AK 99701-5937 2007-03-28

Competitor

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City ANCHORAGE
Zip Code 99508

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Dataset Information

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.

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