Kyle A Moore (NPI# 1568580322, PAC ID# 1759573405) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1568580322 |
| PAC ID by PECOS | 1759573405 |
| Professional Enrollment ID | I20101013000296 |
| Full Name | Kyle A Moore |
| Organization Legal Name | BAART COMMUNITY HEALTHCARE |
| Address |
3707 Sunset Ln Antioch CA 94509-6101 |
| Phone Number | 9255220124 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1984 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5799672515 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3707 Sunset Ln, Antioch, CA 94509-6101 | 9255220124 | BAART COMMUNITY HEALTHCARE |
| 1313 Cutting Blvd, Richmond, CA 94804-2554 | 5102320874 | BAART COMMUNITY HEALTHCARE |
| Organization Legal Name | BAART COMMUNITY HEALTHCARE |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Robert Clear | General Practice | Baart Community Healthcare | 433 Turk St, San Francisco, CA 94102-3329 |
| Thomas R Farnham | Family Practice | Baart Community Healthcare | 1701 Zonal Ave, Los Angeles, CA 90033-1065 |
| Laurene Spencer | Internal Medicine | Baart Community Healthcare | 1235 E St, Fresno, CA 93706-2024 |
| David Koroshec | Addiction Medicine | Baart Community Healthcare | 4920 Avalon Blvd, Los Angeles, CA 90011-4004 |
| Farhad S Mahjouri | Neurosurgery | Baart Community Healthcare | 1235 E St, Fresno, CA 93706-2024 |
| Street Address |
3707 SUNSET LN |
| City | ANTIOCH |
| State | CA |
| Zip | 94509-6101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd M Frigard | Chiropractic | 501 W 3rd St, Antioch, CA 94509-1275 | |
| Queen Lynn Marie Adu-poku | Clinical Social Worker | 101 Waldie Plz, Suite 10, Antioch, CA 94509-1279 | |
| Sanjay Ray | Cardiovascular Disease (cardiology) | 1130 A St, Antioch, CA 94509-2356 | |
| Stacey A Duckett | Chiropractic | 1407 A St, Suite D, Antioch, CA 94509-2357 | |
| Sylvia L Chi | Nephrology | Permanente Medical Group Inc | 3100 Delta Fair Blvd, Antioch, CA 94509-4001 |
| Steven Lin | Dermatology | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
| Seema C Cameron | Family Medicine | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
| Barbara D Garcia | Dermatology | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
| Vickrum Chodri | Internal Medicine | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
| Mark C Vanriper | Physical Therapy | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
| Find all physicians in zip 94509 | |||
| City | ANTIOCH |
| Zip Code | 94509 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | ANTIOCH + GENERAL PRACTICE |
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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.