Jason Robert Moore (NPI# 1902037104, PAC ID# 3274679675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1902037104 |
| PAC ID by PECOS | 3274679675 |
| Professional Enrollment ID | I20181003003177 |
| Full Name | Jason Robert Moore |
| Organization Legal Name | OKLAHOMA EMERGENCY PHYSICIAN PARTNERS PLLC |
| Address |
2401 W Wrangler Blvd Integris Seminole Medical Center Seminole OK 74868-1917 |
| Phone Number | 4053034000 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2017 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0345493649 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370004 | INTEGRIS MIAMI HOSPITAL |
| 370019 | GREAT PLAINS REGIONAL MEDICAL CENTER |
| 370002 | ALLIANCEHEALTH WOODWARD |
| 370229 | ALLIANCEHEALTH SEMINOLE |
| Address | Phone | Organization |
|---|---|---|
| 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 | 4053034000 | OKLAHOMA EMERGENCY PHYSICIAN PARTNERS PLLC |
| Organization Legal Name | OKLAHOMA EMERGENCY PHYSICIAN PARTNERS PLLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Luther Bennett | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Alisha R Murrow | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 901 S 5th Ave, Madill, OK 73446-3640 |
| Jonathan Wright | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 710 S 13th St, Integris Blackwell Regional Medical Center, Blackwell, OK 74631-3700 |
| Laurel Elizabeth Stacy | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 901 S 5th Ave, Madill, OK 73446-3640 |
| Ryan Richard Ludlow | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 901 S 5th Ave, Madill, OK 73446-3640 |
| Jared Michael Adams | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Colin J Morgan | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Dustin Thompson | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 901 S 5th Ave, Madill, OK 73446-3640 |
| Russell M. Huq | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 1800 W University Blvd, Medical Center of Se Oklahoma, Durant, OK 74701-3006 |
| Tabitha Nave | Nurse Practitioner | Oklahoma Emergency Physician Partners Pllc | 1800 W University Blvd, Medical Center of Se Oklahoma, Durant, OK 74701-3006 |
| Street Address |
2401 W WRANGLER BLVD INTEGRIS SEMINOLE MEDICAL CENTER |
| City | SEMINOLE |
| State | OK |
| Zip | 74868-1917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Luther Bennett | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Jared Michael Adams | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Colin J Morgan | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Melissa A Harris | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Andrew Vuong | Family Medicine | Emergency Physicians of Midwest City LLC | 2401 W Wrangler Blvd, Emergency Physicians of Midwest City LLC, Seminole, OK 74868-1917 |
| Mustafa N Hyder | Family Practice | Seminole Hmpn, LLC | 2401 W Wrangler Blvd, Seminole, OK 74868-1917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall L Kemp | Family Medicine | Seminole Clinic Pllc | 2403 W Wrangler Blvd A, Seminole, OK 74868-1900 |
| Ronald Eugene Pauls | Physician Assistant | Seminole Clinic Pllc | 2403 W Wrangler Blvd A, Seminole, OK 74868-1900 |
| Tracy A Kidwell | Family Medicine | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Harry C Fisher | General Surgery | Seminole Hmpn, LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Brandi Strayhorn | Physician Assistant | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Robert J Silvy Ii | Certified Registered Nurse Anesthetist (crna) | Seminole Hmpn, LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Shanna Elaine Hampton | Internal Medicine | Seminole Hmpn, LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Marah Gail Canfield | Nurse Practitioner | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Tessa R Tate | Nurse Practitioner | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Stephen A Feuerborn | Family Medicine | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Find all physicians in zip 74868 | |||
| City | SEMINOLE |
| Zip Code | 74868 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SEMINOLE + EMERGENCY 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.