Judson B Moore (NPI# 1245223114, PAC ID# 3476589326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1245223114 |
| PAC ID by PECOS | 3476589326 |
| Professional Enrollment ID | I20050712000558 |
| Full Name | Judson B Moore |
| Organization Legal Name | S.B.J.S. PC |
| Address |
1500 Ross Clark Cir Dothan AL 36301-4754 |
| Phone Number | 3347932663 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8527043421 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010001 | SOUTHEAST ALABAMA MEDICAL CENTER |
| 010055 | FLOWERS HOSPITAL |
| 100142 | JACKSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 3347932663 | S.B.J.S. PC |
| 345 Healthwest Dr, Dothan, AL 36303-2053 | 3347932663 | S.B.J.S. PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | S.B.J.S. PC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Echols | Physician Assistant | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Patrick W Lett | Orthopedic Surgery | S.b.j.s. PC | 512 E Three Notch St, Andalusia, AL 36420-3128 |
| Benjamin J Werner | Podiatry | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Timothy M Haley | Orthopedic Surgery | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Melissa R Toombs | Nurse Practitioner | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Timothy R Pflugner | Orthopedic Surgery | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| James K Brannon | Physician Assistant | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Heather A Bogart | Nurse Practitioner | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Jeremiah J Maddox | Orthopedic Surgery | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Orvis H Chitwood Iii | Orthopedic Surgery | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Street Address |
1500 ROSS CLARK CIR |
| City | DOTHAN |
| State | AL |
| Zip | 36301-4754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Echols | Physician Assistant | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Benjamin J Werner | Podiatry | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Timothy M Haley | Orthopedic Surgery | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Melissa R Toombs | Nurse Practitioner | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Timothy R Pflugner | Orthopedic Surgery | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| James K Brannon | Physician Assistant | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Heather A Bogart | Nurse Practitioner | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Jeremiah J Maddox | Orthopedic Surgery | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Orvis H Chitwood Iii | Orthopedic Surgery | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Tyler B Jones | Physician Assistant | S.b.j.s. PC | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracey Carter | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| David D Gayle | Cardiac Electrophysiology | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Melissa Watkins | Nurse Practitioner | Pulmonary Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Brittney H Edge | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Sylvia J Rushing | Interventional Cardiology | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Michael E. Pinson | Cardiovascular Disease (cardiology) | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Magan B Parker | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Emmalyn A Bady-mcdowell | Psychiatry | 4300 Main St W, Suite 102, Dothan, AL 36301-1051 | |
| Faye E Rao | Cardiovascular Disease (cardiology) | Cardiology Associates, Pa | 4300 W Main St, Suite 102, Dothan, AL 36301-1051 |
| Simon R Brooks | Interventional Cardiology | Cardiology Associates, Pa | 4300 W Main St, Suite 102, Dothan, AL 36301-1051 |
| Find all physicians in zip 36301 | |||
| City | DOTHAN |
| Zip Code | 36301 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | DOTHAN + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Judson B 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.