Daniel T Moore (NPI# 1861400244, PAC ID# 3678896347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1861400244 |
| PAC ID by PECOS | 3678896347 |
| Professional Enrollment ID | I20150105000842 |
| Full Name | Daniel T Moore |
| Address |
514 Old Richton Rd Petal MS 39465-2920 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 514 Old Richton Rd, Petal, MS 39465-2920 |
| Street Address |
514 OLD RICHTON RD |
| City | PETAL |
| State | MS |
| Zip | 39465-2920 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marla V Mathis | Nurse Practitioner | 130 N Main St, Family Clinic of Petal, Petal, MS 39465-2345 | |
| Marisa S Mcgeorge | Nurse Practitioner | David B Roy Do Pa | 201 S Main St, Petal, MS 39465-2362 |
| Kristen M Richardson | Physician Assistant | David B Roy Do Pa | 201 S Main St, Petal, MS 39465-2362 |
| Lauren R Aycock | Nurse Practitioner | David B Roy Do Pa | 201 S Main St, Petal, MS 39465-2362 |
| Lisa Diane Morgan | Nurse Practitioner | Pioneer Health Care, LLC | 100 Clarendon Ave, Petal, MS 39465-2636 |
| Roy D Evans | Emergency Medicine | Pioneer Health Care, LLC | 100 Clarendon Ave, Petal, MS 39465-2636 |
| Amye Blubaugh Lovitt | Physical Therapy | Encore Rehabilitation Inc | 1044 Hwy 42, Petal, MS 39465-2671 |
| Michelle L Weeks | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 1229 Hwy 42, Suite 260, Petal, MS 39465-2733 |
| Rachel Louise Rawson | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 1229 Hwy 42, Suite 260, Petal, MS 39465-2733 |
| Alvaro Moreno | Optometry | 598 E Central Ave, Petal, MS 39465-2957 | |
| Find all physicians in zip 39465 | |||
| City | PETAL |
| Zip Code | 39465 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PETAL + PSYCHOLOGIST, CLINICAL |
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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.