MR. DALE G MOORE (NPI# 1861436248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861436248 |
| Entity Type | Individual |
| Full Name | MR. DALE G MOORE |
| Credential | C.R.N.A. |
| Practice Address |
125 W Walnut St Kalamazoo MI 49007-5239 |
| Mailing Address |
601 John St Box 42 Kalamazoo MI 49007-5341 |
| Practice Telephone | 2693431381 |
| Practice Fax Number | 2693436321 |
| Mailing Telephone | 2693418419 |
| Mailing Fax Number | 2693418743 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704186545 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS GRP PIN | 430C910670 | 01 |
| MI | RAILROAD IND PIN | 4308757580 | 01 |
| AETNA PIN | 7450527 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407269491 | Dale Moore | Pharmacist | 203 Kanawha Dr, Weirton, WV 26062-3917 | 2014-06-06 |
| 1558509281 | Dale Moore | Denturist | 1514 Jefferson Ave, La Grande, OR 97850-2646 | 2009-02-03 |
| 1255488284 | Dale Kurt Moore | Day Training/Habilitation Specialist | 8115 E Indian Bend Rd, Ste. 123, Scottsdale, AZ 85250-4819 | 2007-01-04 |
| Street Address |
125 W WALNUT ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245573799 | Bronson Ambulatory Surgery Center | Clinic/Center | 125 W Walnut St, Kalamazoo, MI 49007-5239 | 2013-04-03 |
| 1376764241 | Healthcare Midwest PC | Nurse Anesthetist, Certified Registered | 125 W Walnut St, Kalamazoo, MI 49007-5239 | 2007-05-01 |
| 1366486896 | Blaine R Williams | Nurse Anesthetist, Certified Registered | 125 W Walnut St, Kalamazoo, MI 49007-5239 | 2006-06-15 |
| 1730127663 | Healthcare Midwest PC | Clinic/Center | 125 W Walnut St, Kalamazoo, MI 49007-5239 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013000462 | Tamara Heaston | Nurse Anesthetist, Certified Registered | 900 Peeler St Ste B, Kalamazoo, MI 49008-2380 | 2006-09-30 |
| 1699754820 | Mary E Koterba | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2006-01-16 |
| 1316544430 | Eric J Johnson | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-01 |
| 1558903567 | Frank Andrew Schymik | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-10-10 |
| 1639721095 | Andrew Cooper | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-07-15 |
| 1013484153 | Joseph Aikens | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2018-10-26 |
| 1356841738 | Jonathan Dale Hasseler | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2018-02-13 |
| 1235675455 | Jacob Todd Alberda | Nurse Anesthetist, Certified Registered | 900 Peeler St Ste B, Kalamazoo, MI 49008-2380 | 2017-01-11 |
| 1689119679 | Alyssa Krudy-newby | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2016-12-29 |
| 1538604772 | Trent Herman | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2016-12-26 |
| Find all providers in KALAMAZOO | ||||
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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.