Daniel A Moore (NPI# 1154710077, PAC ID# 3779800669) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1154710077 |
PAC ID by PECOS | 3779800669 |
Professional Enrollment ID | I20150403000312 |
Full Name | Daniel A Moore |
Organization Legal Name | HAWARDEN REGIONAL HEALTHCARE |
Address |
1111 11th St Hawarden IA 51023-1903 |
Phone Number | 7125513100 |
Gender | M |
Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
Graduation Year | 2014 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 0547257990 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
161362 | CHEROKEE REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1111 11th St, Hawarden, IA 51023-1903 | 7125513100 | HAWARDEN REGIONAL HEALTHCARE |
Organization Legal Name | HAWARDEN REGIONAL HEALTHCARE |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard A Jongewaard | Family Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Thomas E Schryver | Family Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Heather R Kreber | Physician Assistant | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Lindsey B Tuntland | Physical Therapy | Hawarden Regional Healthcare | 104 W 2nd St, Alcester, SD 57001-2281 |
Scott D Murray | Emergency Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Dale P Nystrom | General Practice | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Collin R Wiggins | Physical Therapy | Hawarden Regional Healthcare | 104 W 2nd St, Alcester, SD 57001-2281 |
Said Sana | Emergency Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Street Address |
1111 11TH ST |
City | HAWARDEN |
State | IA |
Zip | 51023-1903 |
Name | Specialty | Organization | Address |
---|---|---|---|
Beau Waddell | Family Medicine | Hawarden Regional Healthcare Clinics LLC | 1111 11th St, Hawarden, IA 51023-1903 |
Richard A Jongewaard | Family Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Thomas E Schryver | Family Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Heather R Kreber | Physician Assistant | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Nicola J Pike | Podiatry | 1111 11th St, Hawarden, IA 51023-1903 | |
Scott D Murray | Emergency Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Dale P Nystrom | General Practice | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Lukas M Sachau | Physician Assistant | Siouxland Urology Associates PC | 1111 11th St, Hawarden, IA 51023-1903 |
Said Sana | Emergency Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott R Beecher | Optometry | Vision Care Clinic PC | 605 9th St, Hawarden, IA 51023-2220 |
Ryan P Schwiesow | Chiropractic | 827 Central Ave, Hawarden, IA 51023-2231 | |
Jessica L Daale | Chiropractic | 816 Central Ave, Hawarden, IA 51023-2232 | |
Nicolette Menke | Clinical Social Worker | Creative Living Center PC | 926 Ave F, Hawarden, IA 51023-2275 |
City | HAWARDEN |
Zip Code | 51023 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | HAWARDEN + PHYSICIAN ASSISTANT |
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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.