JOHN WAYNE MOORE (NPI# 1669552550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669552550 |
| Entity Type | Individual |
| Full Name | JOHN WAYNE MOORE |
| Credential | PA-C |
| Practice Address |
950 Bogard Rd Suite 233 Wasilla AK 99654-7105 |
| Mailing Address |
3719 E Meridian Loop Ste A Wasilla AK 99654-7273 |
| Practice Telephone | 9073522883 |
| Practice Fax Number | 9073522885 |
| Mailing Telephone | 9073522883 |
| Mailing Fax Number | 9073522885 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
508 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
| 1609218379 | John Easter Moore Jr. | Social Worker | 2032 Sheffield Rd, Oklahoma City, OK 73120-4926 | 2013-07-23 |
| 1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
| 1487915799 | John S Moore | Registered Nurse | 26300 Ford Rd # 160, Dearborn Heights, MI 48127-2854 | 2012-06-04 |
| 1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
| 1205130176 | John Robert Moore | Family Medicine | 9715 Hurlbut Rd, Remsen, NY 13438-4621 | 2011-01-06 |
| 1548462385 | John William Moore IIi | Internal Medicine | 2643 Patterson Rd Ste 605, Grand Junction, CO 81506-1937 | 2007-06-04 |
| 1962612317 | John D Moore | Hearing Instrument Specialist | 7050 W Palmetto Park Rd Ste 20, Boca Raton, FL 33433-3462 | 2007-05-23 |
| Street Address |
950 BOGARD RD SUITE 233 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699734673 | Richard J Zajac | Internal Medicine | 950 Bogard Rd, 207, Wasilla, AK 99654-7105 | 2006-03-20 |
| 1194928234 | John R Oliver Md PC | Obstetrics & Gynecology | 950 Bogard Rd, Wasilla, AK 99654-7105 | 2007-06-07 |
| 1720105901 | Scott W Peterson | Physician Assistant | 950 Bogard Rd, Suite 233, Wasilla, AK 99654-7105 | 2007-03-23 |
| 1932282472 | Mat Su Valley Medical Center LLC | Durable Medical Equipment & Medical Supplies | 950 Bogard Rd, Wasilla, AK 99654-7105 | 2006-10-20 |
| 1134133499 | Alaska Heart Clinic, Inc | Internal Medicine | 950 Bogard Rd, Suite 207, Wasilla, AK 99654-7105 | 2006-07-29 |
| 1760413439 | John C Boston Do PC | Internal Medicine | 950 Bogard Rd, Suite 228, Wasilla, AK 99654-7105 | 2006-07-05 |
| 1881621860 | Melissa Peters, D.o. PC | Internal Medicine | 950 Bogard Rd, Suite 226, Wasilla, AK 99654-7105 | 2006-06-27 |
| 1912950148 | Mat Su Valley Medical Center LLC | Internal Medicine | 950 Bogard Rd, Wasilla, AK 99654-7105 | 2006-05-18 |
| 1093778029 | John Oliver | Obstetrics & Gynecology | 950 Bogard Rd, Suite 238, Wasilla, AK 99654-7105 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549098 | Craig Michael Brumagin | Physician Assistant | 4961 E Mayflower Ln, Wasilla, AK 99654-7708 | 2019-10-10 |
| 1528503687 | Northwoods Family Medicine, Inc | Physician Assistant | 1301 E. Palmer-wasilla Hwy, #400, Wasilla, AK 99654 | 2016-12-28 |
| 1669898474 | Louis Michael Smith | Physician Assistant | 22301 W Alsop Rd, Wasilla, AK 99623-5023 | 2014-03-17 |
| 1083701858 | Gerald Edward Manning II | Physician Assistant | 5050 Dunbar, Suite D, Wasilla, AL 99654 | 2006-10-05 |
| 1427049238 | Scott William Schafer | Physician Assistant | 3066 E Meridian Park Loop, Capstone Urgent Care, Wasilla, AK 99654-7372 | 2005-11-01 |
| 1043738461 | Nathan Fitzgerald | Physician Assistant | 22301 W Alsop Rd, Wasilla, AK 99623-5023 | 2017-09-06 |
| 1194119313 | Adrian Kristin Giani | Physician Assistant | 1700 E Bogard Rd Ste 102, Wasilla, AK 99654-6563 | 2015-03-25 |
| 1629461488 | David Arthur | Physician Assistant | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2015-03-17 |
| 1922498781 | Matthew Loudon | Physician Assistant | 3331 E Meridian Park Loop, Wasilla, AK 99654-7294 | 2015-02-02 |
| 1548426471 | Leah M Bramer | Physician Assistant | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2008-07-30 |
| Find all providers in WASILLA | ||||
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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.