Matthew G Moore (NPI# 1437105640, PAC ID# 1355233545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1437105640 |
| PAC ID by PECOS | 1355233545 |
| Professional Enrollment ID | I20040324001700 |
| Full Name | Matthew G Moore |
| Organization Legal Name | W A FOOTE MEMORIAL HOSPITAL INC |
| Address |
1125 E Michigan Ave Henry Ford Allegiance Surgery Center Jackson MI 49201-1801 |
| Phone Number | 5172051080 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 0244136067 |
| Number of Group Practice Members | 414 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230092 | HENRY FORD ALLEGIANCE HEALTH |
| 230259 | ST JOSEPH MERCY CHELSEA |
| 231334 | PROMEDICA HERRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12369 E Michigan Ave, Henry Ford Allegiance Family Medicine Grass Lake, Grass Lake, MI 49240-9213 | 5172052525 | W A FOOTE MEMORIAL HOSPITAL INC |
| 1125 E Michigan Ave, Henry Ford Allegiance Surgery Center, Jackson, MI 49201-1801 | 5172051080 | W A FOOTE MEMORIAL HOSPITAL INC |
| 130 N Sherman St, Leslie, MI 49251-9409 | W A FOOTE MEMORIAL HOSPITAL INC | |
| 8958 M, Suite 50, Onsted, MI 49265-9461 | 5172054424 | W A FOOTE MEMORIAL HOSPITAL INC |
| Organization Legal Name | W A FOOTE MEMORIAL HOSPITAL INC |
| Physicians | 420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Cardenas | Nurse Practitioner | W A Foote Memorial Hospital Inc | 130 N Sherman St, Henry Ford Allegiance Family Medicine Leslie, Leslie, MI 49251-9409 |
| Elizabeth Ann Shea | Nurse Practitioner | W A Foote Memorial Hospital Inc | 12369 E Michigan Ave, Henry Ford Allegiance Family Medicine Grass Lake, Grass Lake, MI 49240-9213 |
| Hannah Rae Chase | Qualified Audiologist | W A Foote Memorial Hospital Inc | 1111 Teneyck St, Suite 200, Jackson, MI 49201-2486 |
| Deborah Ann Mroczka | Nurse Practitioner | W A Foote Memorial Hospital Inc | 27931 C Dr N, Henry Ford Allegiance Family Medicine Ablion, Albion, MI 49224-8402 |
| Michael Stephen Somero | Infectious Disease | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432 |
| Maria C Opolka | Family Medicine | W A Foote Memorial Hospital Inc | 810 Hogsback Rd, Suite A, Mason, MI 48854-9396 |
| Kasey Lyn Gamez | Nurse Practitioner | W A Foote Memorial Hospital Inc | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6152 |
| Joni Anne Frost | Nurse Practitioner | W A Foote Memorial Hospital Inc | 2585 Spring Arbor Rd, Jackson, MI 49203-3655 |
| Eduardo Montoya | Psychologist, Clinical | W A Foote Memorial Hospital Inc | 1400 E Michigan Ave, Henry Ford Allegiance Neuropsychology, Jackson, MI 49202-3518 |
| Kathleen Viola | Dermatology | W A Foote Memorial Hospital Inc | 1125 E Michigan Ave, Henry Ford Allegiance Surgery Center, Jackson, MI 49201-1801 |
| Street Address |
1125 E MICHIGAN AVE HENRY FORD ALLEGIANCE SURGERY CENTER |
| City | JACKSON |
| State | MI |
| Zip | 49201-1801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Viola | Dermatology | W A Foote Memorial Hospital Inc | 1125 E Michigan Ave, Henry Ford Allegiance Surgery Center, Jackson, MI 49201-1801 |
| Mark R Henry | Family Medicine | Wattles Park Family Practice II PC | 1125 E Michigan Ave, Battle Creek, MI 49014-6832 |
| Bhavani Rangan | Physical Therapy | 1125 E Michigan Ave, Suite 2, Battle Creek, MI 49014-6832 | |
| Michael S Mann | Nurse Practitioner | Wattles Park Family Practice II PC | 1125 E Michigan Ave, Battle Creek, MI 49014-6832 |
| Jennifer L Schaefer | Physician Assistant | Wattles Park Family Practice II PC | 1125 E Michigan Ave, Battle Creek, MI 49014-6832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura M Putney | Clinical Social Worker | 569 Wildwood Ave, Unit 4, Jackson, MI 49201-1048 | |
| Dorothy E Tetreault | Clinical Social Worker | 569 Wildwood Ave Unit, Suite 4, Jackson, MI 49201-1048 | |
| Cheryl A Colletti | Family Medicine | 517 Wildwood Ave, Jackson, MI 49201-1094 | |
| Beth E Vanderwalker | Clinical Social Worker | 432 Wildwood Ave, Jackson, MI 49201-1148 | |
| Michael P Vanderwalker | Clinical Social Worker | 432 Wildwood Ave, Jackson, MI 49201-1148 | |
| David R Krajewski | Clinical Social Worker | Crossroads Psychotherapy PC | 432 Wildwood Ave, Jackson, MI 49201-1148 |
| Rolando M Beredo | Internal Medicine | R M Beredo Md Pllc | 426 N Jackson St, Jackson, MI 49201-1235 |
| Monica J Hill | Obstetrics/gynecology | Center for Family Health | 505 N Jackson St, Jackson, MI 49201-1266 |
| Eliezer A Gomez | Family Medicine | Center for Family Health | 505 N Jackson St, Jackson, MI 49201-1266 |
| Nora Elizabeth Flood | Obstetrics/gynecology | Center for Family Health | 505 N Jackson St, Jackson, MI 49201-1266 |
| Find all physicians in zip 49201 | |||
| City | JACKSON |
| Zip Code | 49201 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Matthew G 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.