GREG R MOORE (NPI# 1699725937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699725937 |
| Entity Type | Individual |
| Full Name | GREG R MOORE |
| Credential | AUD, CCCA |
| Practice Address |
13640 N Plaza Del Rio Blvd Ste 350 Peoria AZ 85381-4846 |
| Mailing Address |
14814 N Del Webb Blvd Sun City AZ 85351-2146 |
| Practice Telephone | 6238763710 |
| Practice Fax Number | 6238766917 |
| Mailing Telephone | 6238250999 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | DA852 | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 840018 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104138999 | Greg Moore | Counselor | 1915 D St, Antioch, CA 94509-2571 | 2010-07-08 |
| Street Address |
13640 N PLAZA DEL RIO BLVD STE 350 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279654 | John Peter Kieley | Internal Medicine | 13640 N Plaza Del Rio Blvd, Suite 220, Peoria, AZ 85381-4846 | 2005-07-20 |
| 1366913618 | Krishna Keshav | Nurse Practitioner | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 | 2018-12-16 |
| 1871062158 | Samantha Mae Boartfield | Pharmacist | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2018-11-16 |
| 1790236487 | Israa Al-sayyed | Physician Assistant | 13640 N Plaza Del Rio Blvd, Ste 340, Peoria, AZ 85381-4846 | 2016-10-18 |
| 1326408444 | Banner Pharmacy Services LLC | Pharmacy | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2016-03-02 |
| 1801278981 | Shin Jung Yoon | Family Medicine | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 | 2015-06-24 |
| 1831584044 | Michelle Obillo Prestoza | Family Medicine | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2015-04-03 |
| 1578967162 | Tina Marino | Nurse Practitioner | 13640 N Plaza Del Rio Blvd, Suite 230, Peoria, AZ 85381-4846 | 2014-10-10 |
| 1396156139 | Banner Health | Non-Pharmacy Dispensing Site | 13640 N Plaza Del Rio Blvd, 3rd Floor, Suite 350, Peoria, AZ 85381-4846 | 2014-05-14 |
| 1932522836 | Deborah L. Burns | Registered Nurse | 13640 N Plaza Del Rio Blvd, 210, Peoria, AZ 85381-4846 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1972034262 | Sounds Good | Audiologist | 4016 N Prospect Rd, Peoria, IL 61614-7749 | 2017-03-27 |
| 1447438130 | Deborah Joanne Blaylock | Audiologist | 8877 W Union Hills Dr Ste 350, Peoria, AZ 85382-3026 | 2008-02-05 |
| 1558401661 | Trude Margaret Reiser | Audiologist | 300 E War Memorial Drive, Suite 202, Peoria, IL 61614-7551 | 2007-02-07 |
| 1689776049 | Carrie Morris | Audiologist | 8600 Rt 91 N, Ste 300, Peoria, IL 61615 | 2006-09-05 |
| 1972582468 | Sherry Lynn Miller | Audiologist | 13460 N 94th Dr, Ste G-2, Peoria, AZ 85381-4835 | 2006-01-12 |
| 1578176418 | Jennifer Anne Meyer | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-08-30 |
| 1134739931 | Jacey Gail Hoekstra | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-08-06 |
| 1700431160 | Sawyer T Milam | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2019-08-02 |
| 1922580695 | Anna K Boyce | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-08-30 |
| Find all providers in PEORIA | ||||
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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.