ZANE MOORE (NPI# 1891109963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891109963 |
| Entity Type | Individual |
| Full Name | ZANE MOORE |
| Credential | D.P.M |
| Practice Address |
610 Hwy 5 N Benton AR 72019-8559 |
| Mailing Address |
703 Donaghey Ave Conway AR 72034-5107 |
| Practice Telephone | 5013273668 |
| Practice Fax Number | 5013273664 |
| Mailing Telephone | 5013273668 |
| Mailing Fax Number | 5013273664 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2019-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
275 | AR | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 Hogan Ln Ste B, Conway, AR 720348216 | 5013273668 | 5013273664 |
| 703 Donaghey Ave, Conway, AR 720345107 | 5013273668 | 5013273664 |
| Street Address |
610 HWY 5 N |
| City | BENTON |
| State | AR |
| Zip Code | 72019-8559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225304629 | Anna Elizabeth Button | Occupational Therapy Assistant | 610 Hwy 5 N, Benton, AR 72019-8559 | 2012-03-29 |
| 1720458854 | R.e.a.c.h. Pediatric Health Services, LLC | Social Worker | 610 Hwy 5 N, Benton, AR 72019-8559 | 2015-10-01 |
| 1205211844 | Sharon Powell | Developmental Therapist | 610 Hwy 5 N, Benton, AR 72019-8559 | 2015-07-24 |
| 1639558240 | Courtney Gayle Shull | Physical Therapist | 610 Hwy 5 N, Benton, AR 72019-8559 | 2015-05-28 |
| 1659788230 | Ashley Brown | Occupational Therapist | 610 Hwy 5 N, Benton, AR 72019-8559 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| Find all providers in zip 72019 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649791369 | Kyle Haverstrom | Podiatrist | 200 S 20th St Ste B, Rogers, AR 72758-1100 | 2017-07-03 |
| 1609288984 | Aaron Teufel | Podiatrist | 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703 | 2014-05-21 |
| 1568716744 | Spencer Lewis Mortensen | Podiatrist | 1500 Dodson Ave Ste 260, Fort Smith, AR 72901-5179 | 2012-11-09 |
| 1982968574 | Adam Lloyd Bingham | Podiatrist | 1713 W Main St, Russellville, AR 72801-2721 | 2012-06-27 |
| 1477881092 | Bradley Footcare LLC | Podiatrist | 116 W Tyler Ave Ste B, West Memphis, AR 72301-4221 | 2009-11-19 |
| 1114160389 | Jesse H. Bradley Jr. | Podiatrist | 116 W Tyler Ave, Suite B, West Memphis, AR 72301-4221 | 2009-04-16 |
| 1154571495 | Mid-south Foot & Ankle Clinic P C | Podiatrist | 302 S Rhodes St, West Memphis, AR 72301-4215 | 2008-09-23 |
| 1235314147 | Stephanie A. Roth | Podiatrist | 703 W Main St, Russellville, AR 72801-3616 | 2008-01-09 |
| 1144341827 | Carlotta Monique Wells | Podiatrist | 1132 Malvern Ave, Hot Springs, AR 71901-6347 | 2007-04-02 |
| 1407936388 | Angela Lorraine Ayson | Podiatrist | 11 Halsted Cir Ste E, Rogers, AR 72756-3145 | 2006-10-16 |
| Find all providers with the same taxonomy | ||||
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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.