Todd Stanley Mooney (NPI# 1013024330, PAC ID# 3577461623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013024330 |
| PAC ID by PECOS | 3577461623 |
| Professional Enrollment ID | I20031227000013 |
| Full Name | Todd Stanley Mooney |
| Organization Legal Name | WAYNE COMMUNITY HEALTH CENTERS INC |
| Address |
128 S 300 Bicknell UT 84715-7722 |
| Phone Number | 4354253744 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254242233 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 461333 | GARFIELD MEMORIAL HOSPITAL |
| 460007 | CEDAR CITY HOSPITAL |
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| 460026 | SEVIER VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 128 S 300, Bicknell, UT 84715-7722 | 4354253744 | WAYNE COMMUNITY HEALTH CENTERS INC |
| 570 E Moqui Ln, Escalante, UT 84726-7753 | 4358264374 | WAYNE COMMUNITY HEALTH CENTERS INC |
| 200 N 400, Garfield Memorial Hospital Physicians Group, Panguitch, UT 84759-0389 | 4356768842 | GARFIELD COUNTY |
| Organization Legal Name | WAYNE COMMUNITY HEALTH CENTERS INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deann R Brown | Certified Nurse Midwife (cnm) | Wayne Community Health Centers Inc | 570 E Moqui Ln, Escalante, UT 84726-7753 |
| Sherree C Rechtsteiner | Nurse Practitioner | Wayne Community Health Centers Inc | 570 E Moqui Lane, Escalante, UT 84726 |
| Leland J Chappell | Family Medicine | Wayne Community Health Centers Inc | 128 S 300, Bicknell, UT 84715-7722 |
| Sadie Christine Dahlsrud | Certified Nurse Midwife (cnm) | Wayne Community Health Centers Inc | 128 S 300, Bicknell, UT 84715-7722 |
| Justin James Archibald | Physician Assistant | Wayne Community Health Centers Inc | 128 S 300, Bicknell, UT 84715-7722 |
| Daniel M Palmer | Physician Assistant | Wayne Community Health Centers Inc | 128 S 300, Bicknell, UT 84715 |
| Zachary D Snedeger | Physician Assistant | Wayne Community Health Centers Inc | 128 S 300, Bicknell, UT 84715 |
| Street Address |
128 S 300 |
| City | BICKNELL |
| State | UT |
| Zip | 84715-7722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leland J Chappell | Family Medicine | Wayne Community Health Centers Inc | 128 S 300, Bicknell, UT 84715-7722 |
| Sadie Christine Dahlsrud | Certified Nurse Midwife (cnm) | Wayne Community Health Centers Inc | 128 S 300, Bicknell, UT 84715-7722 |
| Justin James Archibald | Physician Assistant | Wayne Community Health Centers Inc | 128 S 300, Bicknell, UT 84715-7722 |
| Daniel M Palmer | Physician Assistant | Wayne Community Health Centers Inc | 128 S 300, Bicknell, UT 84715 |
| Zachary D Snedeger | Physician Assistant | Wayne Community Health Centers Inc | 128 S 300, Bicknell, UT 84715 |
| City | BICKNELL |
| Zip Code | 84715 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BICKNELL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Todd Stanley Mooney.
| 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.