John B Moore Iv (NPI# 1316928229, PAC ID# 1557362555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
Nation Provider ID (NPI) | 1316928229 |
PAC ID by PECOS | 1557362555 |
Professional Enrollment ID | I20111007000613 |
Full Name | John B Moore Iv |
Organization Legal Name | PREMIER PLASTIC SURGERY PA |
Address |
20375 W 151st St Suite 370 Olathe KS 66061-7207 |
Phone Number | 9137820707 |
Gender | M |
Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1977 |
Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
Secondary Specialties | HAND SURGERY |
Group Practice PAC ID | 9032249859 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
170049 | OLATHE MEDICAL CENTER |
170104 | SHAWNEE MISSION MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
20375 W 151st St, Suite 370, Olathe, KS 66061-7207 | 9137820707 | PREMIER PLASTIC SURGERY PA |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 72% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 38% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 73% |
Organization Legal Name | PREMIER PLASTIC SURGERY PA |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Federico E Gonzalez | Plastic and Reconstructive Surgery | Premier Plastic Surgery Pa | 20375 W 151st St, Suite 370, Olathe, KS 66061-7207 |
Melanie A Knight | Nurse Practitioner | Premier Plastic Surgery Pa | 20375 W 151st St, Suite 370, Olathe, KS 66061-7207 |
Bradley Storm | Plastic and Reconstructive Surgery | Premier Plastic Surgery Pa | 20375 W 151st St, Suite 370, Olathe, KS 66061-7207 |
Street Address |
20375 W 151ST ST SUITE 370 |
City | OLATHE |
State | KS |
Zip | 66061-7207 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anjalee G Carlson | Internal Medicine | Olathe Health Physicians Inc | 20375 W 151st St, 251 Oh Internal Medicine and Pediatrics, Olathe, KS 66061-7253 |
Emily Suzanne Mathiesen | Obstetrics/gynecology | Midwest Physician Services LLC | 20375 W 151st St, Suite 409, Olathe, KS 66061-7210 |
Anita Lynn Kish | Physician Assistant | Olathe Health Physicians Inc | 20375 W 151st St, Olathe, KS 66061-5360 |
Constance R Zuroske | Nurse Practitioner | Midwest Ear Nose and Throat LLC | 20375 W 151st St, Suite 106, Olathe, KS 66061-5353 |
Jason W Anast | Urology | Kansas City Urology Care Pa | 20375 W 151st St, Suite 270, Olathe, KS 66061-5360 |
Larissa M Gasaway | Nurse Practitioner | Olathe Health Physicians Inc | 20375 W 151st St, 205 Neurosurgery Specialists, Olathe, KS 66061-5360 |
Bruce B Snider | Obstetrics/gynecology | Bruce Snider Md Pa | 20375 W 151st St, Suite 250, Olathe, KS 66061-4576 |
Daris A King | Physician Assistant | Kansas City Urology Care Pa | 20375 W 151st St, Suite 270, Olathe, KS 66061-5360 |
Suzanne S Titus | Nurse Practitioner | Olathe Health Physicians Inc | 20375 W 151st St, 301 Oh Kansas Heart and Lung Surgeons, Olathe, KS 66061-7207 |
Matthew T Mcleay | Pulmonary Disease | Olathe Health Physicians Inc | 20375 W 151st St, 451 Oh Consultants In Pulmonary Med, Olathe, KS 66061-7210 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin Fall | Psychologist, Clinical | Bph LLC | 11857 S Sunset Dr, Evergreen Community, Olathe, KS 66061-2794 |
Michael J Mowery | Physical Therapy | 17800 W 106th St, Suite A, Olathe, KS 66061-2882 | |
Devin Scott Morton | Chiropractic | 784 N Ridgeview Rd, Olathe, KS 66061-2900 | |
Melissa Lee Hahn Price | Optometry | 792 N Ridgeview Rd, Olathe, KS 66061-2900 | |
Catherina A Kelly | Clinical Social Worker | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
Marsha A. Faubion | Nurse Practitioner | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
Shiney Zcharia | Nurse Practitioner | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
Samantha Cervetti | Clinical Social Worker | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
Bethany L Allgeyer | Nurse Practitioner | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
Ahmed Mohammed Maher | Psychiatry | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
Find all physicians in zip 66061 |
City | OLATHE |
Zip Code | 66061 |
Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
City + Specialty | OLATHE + PLASTIC AND RECONSTRUCTIVE SURGERY |
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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.