Melissa Anne Moore (NPI# 1265728000, PAC ID# 1759627565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1265728000 |
| PAC ID by PECOS | 1759627565 |
| Professional Enrollment ID | I20190116001535 |
| Full Name | Melissa Anne Moore |
| Organization Legal Name | WOOD HEALTH COMPANY LLC |
| Address |
970 W Wooster St Suite 130 Bowling Green OH 43402-2686 |
| Phone Number | 4193526890 |
| Gender | F |
| Medical School | CINCINNATI COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2011 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 7911800461 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2686 | 4193526890 | WOOD HEALTH COMPANY LLC |
| Organization Legal Name | WOOD HEALTH COMPANY LLC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew R Nowakowski | Family Medicine | Wood Health Company LLC | 838 E Wooster St, Bowling Green, OH 43402-2601 |
| Jessica L Bostater | Nurse Practitioner | Wood Health Company LLC | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2686 |
| Ashley M Sankiewicz | Nurse Practitioner | Wood Health Company LLC | 141 N Keyser Ave, Deshler, OH 43516-1111 |
| Jennifer Devries | Nurse Practitioner | Wood Health Company LLC | 1215 Ridgewood Dr B, Bowling Green, OH 43402-2796 |
| James G Roby | Family Medicine | Wood Health Company LLC | 209 Briar Hill Rd A, North Baltimore, OH 45872-9349 |
| Nazia Y Sidiq | Family Medicine | Wood Health Company LLC | 1039 Haskins Rd, Bowling Green, OH 43402-9065 |
| E. Kerry Pearson | Family Medicine | Wood Health Company LLC | 838 E Wooster St, Bowling Green, OH 43402-2601 |
| David P Barnes | Family Medicine | Wood Health Company LLC | 1215 Ridgewood Dr B, Bowling Green, OH 43402-2796 |
| Michelle G Haas | Nurse Practitioner | Wood Health Company LLC | 838 E Wooster St, Bowling Green, OH 43402-2601 |
| Paul A Mccrory IIi | Nurse Practitioner | Wood Health Company LLC | 950 W Wooster St, Bowling Green, OH 43402-2699 |
| Street Address |
970 W WOOSTER ST SUITE 130 |
| City | BOWLING GREEN |
| State | OH |
| Zip | 43402-2686 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Bostater | Nurse Practitioner | Wood Health Company LLC | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2686 |
| Suzanne L Smitley | Psychologist, Clinical | Psychological Resources Ltd | 970 W Wooster St, Rm 124, Bowling Green, OH 43402-2651 |
| Thomas P Sydlowski | Maxillofacial Surgery | Oral and Maxillofacial Surgeons Inc | 970 W Wooster St, Suite 126, Bowling Green, OH 43402-2652 |
| Marlys J Reetz | Psychologist, Clinical | Psychological Resources Ltd | 970 W Wooster St, Rm 124, Bowling Green, OH 43402-2651 |
| Stephanie Marie Weckesser | Pediatric Medicine | Wood Health Company LLC | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2686 |
| Patrick J Mccabe | Maxillofacial Surgery | Oral and Maxillofacial Surgeons Inc | 970 W Wooster St, Suite 126, Bowling Green, OH 43402-2652 |
| Eric R Nicely | Psychologist, Clinical | Psychological Resources Ltd | 970 W Wooster St, Rm 124, Bowling Green, OH 43402-2651 |
| Brian M Oneill | Maxillofacial Surgery | Oral and Maxillofacial Surgeons Inc | 970 W Wooster St, Suite 126, Bowling Green, OH 43402-2652 |
| Susan E Casselman | Psychologist, Clinical | Psychological Resources Ltd | 970 W Wooster St, Rm 124, Bowling Green, OH 43402-2651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois Anne Nelson | Allergy/immunology | 960 W Wooster, Suite 108, Bowling Green, OH 43402 | |
| Mark A Weiner | Family Medicine | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| Laurie A Schnipke | Nurse Practitioner | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| Deborah F Dugan | Nurse Practitioner | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| Justin P Crowley | Physician Assistant | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| John Both | Family Medicine | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| Cynthia Nye | Nurse Practitioner | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| Robert R Daiber | Family Medicine | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| David G Zick | Psychiatry | Harbor | 1010 N Prospect St, Bowling Green, OH 43402-1335 |
| Madeline A Macdonald | Certified Clinical Nurse Specialist (cns) | Harbor | 1010 N Prospect St, Bowling Green, OH 43402-1335 |
| Find all physicians in zip 43402 | |||
| City | BOWLING GREEN |
| Zip Code | 43402 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | BOWLING GREEN + PEDIATRIC MEDICINE |
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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.