MATTHEW MICHAEL MOORE (NPI# 1962823229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962823229 |
| Entity Type | Individual |
| Full Name | MATTHEW MICHAEL MOORE |
| Credential | CRNA |
| Practice Address |
Psc 482 Fpo AP 96362-9998 |
| Mailing Address |
Psc 482 Box 73 Fpo AP 96362-0099 |
| Practice Telephone | 01181989717555 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001236898 | VA | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0024171408 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285173138 | Matthew Moore | Specialist/Technologist | 287 Rivers St, Boone, NC 28608-0001 | 2017-02-13 |
| 1649440959 | Matthew D. Moore | Radiology | Uva Children's Hospital @ The Battle Bldg, Charlottesville, VA 22908-4617 | 2008-03-04 |
| 1437105640 | Matthew Gresser Moore | Family Medicine | 12369 E Michigan Ave, Grass Lake, MI 49240-9213 | 2006-05-26 |
| 1861489056 | Matthew R. Moore | Neurological Surgery | 1930 Ne 47th St, Suite 200, Fort Lauderdale, FL 33308-7718 | 2005-10-03 |
| 1932727708 | Matthew Moore | Student in an Organized Health Care Education/Training Program | 234 E 85th St, New York, NY 10028-3001 | 2020-07-08 |
| 1558829234 | Matthew Moore | Case Manager/Care Coordinator | 100 E 33rd St Ste 201b, Vancouver, WA 98663-2776 | 2019-03-12 |
| 1205358801 | Matthew Stephen Moore | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-07-14 |
| 1568990224 | Matthew Thomas Moore | Registered Nurse | 200 University Rdg, Greenville, SC 29601-3635 | 2017-05-25 |
| 1588191977 | Matthew Brian Moore | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2017-05-16 |
| 1912351123 | Matthew Moore | Anesthesiology | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2016-04-14 |
| Street Address |
PSC 482 |
| City | FPO |
| State | AP |
| Zip Code | 96362-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648794 | Edward Adison Reedy | Pathology | Psc 482, Box 79, Fpo, AP 96362-9998 | 2005-12-01 |
| 1164051751 | Christopher J Murray | Counselor | Psc 482, Fpo, AP 96362 | 2020-04-06 |
| 1275167132 | Christine Marie Bruce | Counselor | Psc 482, Fpo, AP 96362 | 2020-02-28 |
| 1528615341 | Anthony H Duong | Pharmacist | Psc 482, Fpo, AP 96362-1600 | 2019-08-26 |
| 1740765502 | Alexis M Robinson | Pharmacist | Psc 482, Fpo, AP 96362-1600 | 2018-09-27 |
| 1336631894 | Cassy Ann Piela | Nurse Anesthetist, Certified Registered | Psc 482, Fpo, AP 96362-1600 | 2018-05-31 |
| 1255885158 | Justin Beryl Hefley | Nurse Anesthetist, Certified Registered | Psc 482, U.S. Naval Hospital Okinawa, Fpo, AP 96362-9998 | 2016-08-09 |
| 1881046381 | Carrie Easton Urban | Nurse Practitioner | Psc 482, Fpo, AP 96362-9998 | 2016-07-07 |
| 1144688243 | Nicole Swanson | Physical Therapist | Psc 482, Fpo, AP 96362-1600 | 2016-02-03 |
| 1316319825 | Annette Hemphill | Advanced Practice Midwife | Psc 482, Fpo, AP 96362-9998 | 2015-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659838720 | Joshua Cobb | Occupational Therapist | Psc482, Fpo, AP 96362 | 2019-02-26 |
| 1154718203 | Tanesia Maul | Pharmacist | Psc 482 Box 52, Okinawa, OKINAWA 96362 | 2015-04-15 |
| 1144651118 | Robert Boyer | Pharmacist | Psc 482 Box 199, Fpo, AP 96362 | 2013-12-02 |
| 1972742773 | 8carla T Yballe | Military Health Care Provider | Bldg. 9497 Kab Psc 4821, Fpo, AP 96362 | 2009-02-18 |
| 1538325055 | Charles Christopher Stehman | Anesthesiology | Tarawa Rd, Camp Foster Building 960, Fpo, AP 96362 | 2008-08-04 |
| 1578740163 | Kelly Jo Cavanaugh | Speech-Language Pathologist | Psc 482 Box 3000, Fpo, AP 96362 | 2008-01-25 |
| 1215125109 | Courtney Lynn Stuursma | Physical Therapist | Usnh Okinawa, Department of Pt/ot, Psc 482, Fpo, AP 96362 | 2007-10-05 |
| 1982890299 | Mark Joseph Kane | Military Health Care Provider | Psc 482 Box 2948, Fpo Ap, Fpo, AP 96362 | 2007-09-20 |
| 1376739722 | Gary B. Hoyt | Military Health Care Provider | Psc 482 Box 2577, Fpo, AP 96362 | 2007-09-19 |
| 1801087721 | Richard Houston Blair | Audiologist | Psc 482 Box 206, Fpo, AP 96362 | 2007-08-06 |
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| 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 |
|---|---|---|---|---|
| 1588050371 | Thomas Dixon | Nurse Anesthetist, Certified Registered | Psc 482 Box 3066, Fpo, AP 96362-3099 | 2015-04-08 |
| 1295715803 | Tanya Ponder | Nurse Anesthetist, Certified Registered | Psc 836 Box 2760, Fpo, AE 09636-2700 | 2006-01-19 |
| 1801880091 | Jennifer Leigh Moore | Nurse Anesthetist, Certified Registered | Psc 827, Fpo, AE 09617 | 2005-09-02 |
| 1871585547 | Ramona M Domen | Nurse Anesthetist, Certified Registered | Naval Hospital Guam, Anesthesia Dept, Fpo, AP 96538-0490 | 2005-08-18 |
| 1043817901 | Brian David Curtis | Nurse Anesthetist, Certified Registered | U.S. Naval Hospital Okinawa, Okinawa, Fpo, AP 96362 | 2020-10-05 |
| 1336631894 | Cassy Ann Piela | Nurse Anesthetist, Certified Registered | Psc 482, Fpo, AP 96362-1600 | 2018-05-31 |
| 1255885158 | Justin Beryl Hefley | Nurse Anesthetist, Certified Registered | Psc 482, U.S. Naval Hospital Okinawa, Fpo, AP 96362-9998 | 2016-08-09 |
| 1801288550 | Kimberly Gerber | Nurse Anesthetist, Certified Registered | Psc 482, Box 2731, Fpo, AP 96362-9998 | 2015-03-04 |
| 1164772190 | Shawn Russell Bowdoin | Nurse Anesthetist, Certified Registered | Psc 482, Box 4, Fpo, AP 96362-9998 | 2012-09-18 |
| 1770894099 | Doris Chen Tarrillion | Nurse Anesthetist, Certified Registered | Psc 482, Fpo, AP 96362-9998 | 2010-07-01 |
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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.