Jedd D Moore (NPI# 1902380371, PAC ID# 1850636770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902380371 |
| PAC ID by PECOS | 1850636770 |
| Professional Enrollment ID | I20181221000831 |
| Full Name | Jedd D Moore |
| Organization Legal Name | ALLIANCE MEDICAL GROUP LLC |
| Address |
4971 W Overland Rd Boise ID 83705-2822 |
| Phone Number | 2084725050 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971544685 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4971 W Overland Rd, Boise, ID 83705-2822 | 2084725050 | ALLIANCE MEDICAL GROUP LLC |
| Organization Legal Name | ALLIANCE MEDICAL GROUP LLC |
| Physicians | 116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thiago D Alberto | Nurse Practitioner | Alliance Medical Group LLC | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 |
| Ryan Anthony Baugher | Family Medicine | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Kelsey Martin | Nurse Practitioner | Alliance Medical Group LLC | 3280 E Lanark Dr, Meridian, ID 83642-5982 |
| Nicole Augusta Lafleur | Family Medicine | Alliance Medical Group LLC | 1375 N Happy Valley Rd, Nampa, ID 83687-5280 |
| Alishia Cairl | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Kelly Moore | Nurse Practitioner | Alliance Medical Group LLC | 1648 Nw 1st St, Meridian, ID 83642-2212 |
| Trent B Giles | Family Medicine | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Michael Vincen-brown | Physician Assistant | Alliance Medical Group LLC | 435 S Eagle Rd, Eagle, ID 83616-6067 |
| Steven Barnum | Nurse Practitioner | Alliance Medical Group LLC | 1115 12th Ave Rd, Nampa, ID 83686-5738 |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Street Address |
4971 W OVERLAND RD |
| City | BOISE |
| State | ID |
| Zip | 83705-2822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judit I Mccullough | Chiropractic | 410 S Orchard St, Suite 152, Boise, ID 83705-1210 | |
| Mary K Bermensolo | Clinical Social Worker | 410 S Orchard St, Suite 132, Boise, ID 83705-1288 | |
| Thomas D Hickey | Chiropractic | 376 S Latah St, Boise, ID 83705-1539 | |
| Pamela H Archuleta | Nurse Practitioner | 921 S Orchard St, Suite 101, Boise, ID 83705-1916 | |
| Elizabeth A Jackson | Clinical Social Worker | 963 S Orchard St, Suite 103, Boise, ID 83705-1917 | |
| Toni Sparks | Nurse Practitioner | 1111 S Orchard St, Suite 155, Boise, ID 83705-1963 | |
| Wayland B Fong | Internal Medicine | 808 S La Cassia Dr, Boise, ID 83705-2253 | |
| Margaret C Gwin | Clinical Psychologist | 2901 W Kootenai St, Boise, ID 83705-2326 | |
| Candace M Richards | Physical Therapy | Hands-on Physical Therapy Pa | 5255 W Overland Rd, Boise, ID 83705-2637 |
| Andrea J Henderson | Physical Therapy | Hands-on Physical Therapy Pa | 5255 W Overland Rd, Boise, ID 83705-2637 |
| Find all physicians in zip 83705 | |||
| City | BOISE |
| Zip Code | 83705 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOISE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jedd D 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.