Timothy Moore (NPI# 1932289535, PAC ID# 0143294454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932289535 |
| PAC ID by PECOS | 0143294454 |
| Professional Enrollment ID | I20040823001182 |
| Full Name | Timothy Moore |
| Organization Legal Name | ON TARGET MEDICAL CLINIC INC |
| Address |
490 Saint Andrews Dr Suite 106 Murfreesboro TN 37128-6581 |
| Phone Number | 6159627800 |
| Gender | M |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7113244849 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440009 | CUMBERLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 490 Saint Andrews Dr, Suite 106, Murfreesboro, TN 37128-6581 | 6159627800 | ON TARGET MEDICAL CLINIC INC |
| 490 Saint Andrews Dr, Murfreesboro, TN 37128-6581 | 6159627800 | ON TARGET MEDICAL CLINIC INC |
| Organization Legal Name | ON TARGET MEDICAL CLINIC INC |
| Physicians | 1 |
| Street Address |
490 SAINT ANDREWS DR SUITE 106 |
| City | MURFREESBORO |
| State | TN |
| Zip | 37128-6581 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arleshea Atmore | Nurse Practitioner | Pain Management Group, P.C. | 1547 Warrior Dr A, Murfreesboro, TN 37128-0922 |
| Joshua Dwain Garrett | Optometry | 4144 Franklin Rd, Murfreesboro, TN 37128-1661 | |
| Stephanie Rogers | Nurse Practitioner | The Little Clinic of Tennessee LLC | 4432 Veterans Pkwy, Murfreesboro, TN 37128-3977 |
| Gina L Haffner | Nurse Practitioner | The Little Clinic of Tennessee LLC | 4432 Veterans Pkwy, Murfreesboro, TN 37128-3977 |
| Cameron Wolf | Chiropractic | Grey Wolf LLPc | 2441 Old Fort Pkwy, Murfreesboro, TN 37128-4162 |
| Kelly N Sly | Nurse Practitioner | The Little Clinic of Tennessee LLC | 2449 Old Fort Pkwy, Murfreesboro, TN 37128-4162 |
| Brett H Garvey | Physician Assistant | The Little Clinic of Tennessee LLC | 2449 Old Fort Pkwy, Murfreesboro, TN 37128-4162 |
| Carla Larkin | Nurse Practitioner | The Little Clinic of Tennessee LLC | 2449 Old Fort Pkwy, Murfreesboro, TN 37128-4162 |
| Patrick W Denning | Nurse Practitioner | The Little Clinic of Tennessee LLC | 2449 Old Fort Pkwy, Murfreesboro, TN 37128-4162 |
| Jason T Sasser | Nurse Practitioner | The Little Clinic of Tennessee LLC | 2449 Old Fort Pkwy, Murfreesboro, TN 37128-4162 |
| Find all physicians in zip 37128 | |||
| City | MURFREESBORO |
| Zip Code | 37128 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MURFREESBORO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Timothy Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.