EDWARD L. MOORE (NPI# 1861510463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861510463 |
| Entity Type | Individual |
| Full Name | EDWARD L. MOORE |
| Credential | C.R.N.A. |
| Practice Address |
206 Fairfield Ct Dublin GA 31021-3885 |
| Mailing Address |
Po Box 1031 Dublin GA 31040-1031 |
| Practice Telephone | 4782740161 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN057653 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194877019 | Edward L. Moore | Dentist | 533 Ripley Road, Spencer, WV 25276 | 2007-01-18 |
| 1578527263 | Edward N Moore | Internal Medicine | 520 Mary St., Suite 230, Evansville, IN 47710-1678 | 2006-04-12 |
| 1578803649 | Edward B Moore Jr. | Internal Medicine | 4190 City Ave, Philadelphia, PA 19131-1626 | 2013-02-26 |
| 1407176803 | Edward Moore | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2010-06-08 |
| 1508943127 | Edward M Moore IIi | Dentist | 1100 E Southlake Blvd, Suite 400, Southlake, TX 76092-6357 | 2006-11-01 |
| 1730269945 | Edward Anthony Moore | Psychiatry & Neurology | 9171 Wilshire Blvd, Suite 615, Beverly Hills, CA 90210-5530 | 2006-10-16 |
| 1013009216 | Edward M Moore | Psychiatry & Neurology | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2006-09-28 |
| 1184671158 | Edward E Moore | Obstetrics & Gynecology | 1410 Blanding St, Suite 205, Columbia, SC 29201 | 2006-05-27 |
| Street Address |
206 FAIRFIELD CT |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-3885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497800288 | Henry C. Ballance & Associates, Inc. | Nurse Anesthetist, Certified Registered | 206 Fairfield Ct, Dublin, GA 31021-3885 | 2007-01-24 |
| 1376698134 | Henry C Ballance | Nurse Anesthetist, Certified Registered | 206 Fairfield Ct, Dublin, GA 31021-3885 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| 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 |
|---|---|---|---|---|
| 1497800288 | Henry C. Ballance & Associates, Inc. | Nurse Anesthetist, Certified Registered | 206 Fairfield Ct, Dublin, GA 31021-3885 | 2007-01-24 |
| 1831143932 | Dana Ray Gibbs | Nurse Anesthetist, Certified Registered | 231 Broad Meadows Rd, Dublin, GA 31021-2478 | 2006-05-22 |
| 1194779363 | Sue Avery Gentry | Nurse Anesthetist, Certified Registered | 2400 Bellevue Rd Ste 22, Dublin, GA 31021-2889 | 2006-05-20 |
| 1871553149 | Richard M Saucier | Nurse Anesthetist, Certified Registered | 6336 Phoenix Park Dr, Dublin, OH 43016-8619 | 2006-03-23 |
| 1114918042 | William Brian North | Nurse Anesthetist, Certified Registered | 9716 Erin Woods Dr, Dublin, OH 43017-8717 | 2005-10-31 |
| 1699132639 | Dustin Eric Howard | Nurse Anesthetist, Certified Registered | 2400 Bellevue Rd Ste 22, Dublin, GA 31021-2889 | 2016-01-21 |
| 1780944694 | Shamrock Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2400 Bellevue Rd Ste 22, Dublin, GA 31021-2889 | 2012-05-24 |
| 1669756698 | Moore Anesthesia Services, Inc | Nurse Anesthetist, Certified Registered | 105 Fairview Park Dr, Dublin, GA 31021-2501 | 2011-10-10 |
| 1538466297 | Dublin Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 111 Fairview Park Dr, Dublin, GA 31021-2501 | 2011-02-16 |
| 1225217839 | David Howard Gorney | Nurse Anesthetist, Certified Registered | 2400 Bellevue Rd Ste 22, Dublin, GA 31021-2889 | 2007-10-31 |
| Find all providers in DUBLIN | ||||
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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.