Charlotte A Moore (NPI# 1275512360, PAC ID# 4284655960) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275512360 |
| PAC ID by PECOS | 4284655960 |
| Professional Enrollment ID | I20051208000988 |
| Full Name | Charlotte A Moore |
| Organization Legal Name | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC |
| Address |
13195 Warwick Blvd 2c Newport News VA 23602-8313 |
| Phone Number | 8048774221 |
| Gender | F |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860398526 |
| Number of Group Practice Members | 231 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490052 | RIVERSIDE REGIONAL MEDICAL CENTER |
| 490093 | SENTARA CAREPLEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13195 Warwick Blvd, 2c, Newport News, VA 23602-8313 | 8048774221 | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC |
| 1405 Kiln Creek Pkwy K, Newport News, VA 23602-9700 | 7573695784 | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC |
| 860 Omni Blvd, Newport News, VA 23606-4430 | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC |
| Organization Legal Name | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC |
| Physicians | 240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Zelinskas | Family Medicine | Tidewater Physicians Multispecialty Group, PC | 1016 Justis St, Chesapeake, VA 23325-2516 |
| Danae Consuelo Guerra | Physician Assistant | Tidewater Physicians Multispecialty Group, PC | 1100 Volvo Pkwy, Suite 100, Chesapeake, VA 23320-3341 |
| Jennifer Ann Vannoy | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 5399 Old Virginia St, Urbanna, VA 23175-2179 |
| Trina S Williams | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 11751 Rock Landing Dr, Suite 1, Newport News, VA 23606-4233 |
| Stephanie Barnes | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 222 Grafton Dr, Grafton, VA 23692-2152 |
| Latoya Shant'e Kearney | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 1405 Kiln Creek Pkwy K, Newport News, VA 23602-9700 |
| Laurie Harris | Family Medicine | Tidewater Physicians Multispecialty Group, PC | 2117 Hartford Rd, Hampton, VA 23666-2408 |
| Jeffrey Harris | Family Medicine | Tidewater Physicians Multispecialty Group, PC | 307 Cook Rd, Yorktown, VA 23690-9640 |
| Pamala Suter | Registered Dietitian Or Nutrition Professional | Tidewater Physicians Multispecialty Group, PC | 132 Professional Cir, Williamsburg, VA 23185-3374 |
| David Deeley | Family Medicine | Tidewater Physicians Multispecialty Group, PC | 12655 Warwick Blvd A, Newport News, VA 23606-2501 |
| Street Address |
13195 WARWICK BLVD 2C |
| City | NEWPORT NEWS |
| State | VA |
| Zip | 23602-8313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hatok | Physician Assistant | Tidewater Physicians Multispecialty Group, PC | 13195 Warwick Blvd, 2c, Newport News, VA 23602-8313 |
| Jason P Browder | Internal Medicine | Tidewater Physicians Multispecialty Group, PC | 13195 Warwick Blvd, 2c, Newport News, VA 23602-8313 |
| Maryam M Nowroozi | Internal Medicine | Tidewater Physicians Multispecialty Grp, PC | 13195 Warwick Blvd, 2c, Newport News, VA 23602-8313 |
| William H Polk | Internal Medicine | Tidewater Physicians Multispecialty Grp, PC | 13195 Warwick Blvd, 2c, Newport News, VA 23602-8313 |
| Dannette E Yuiska | Physician Assistant | Tidewater Physicians Multispecialty Grp, PC | 13195 Warwick Blvd, 2c, Newport News, VA 23602-8313 |
| Cynthia C Romero | Family Practice | Tidewater Physicians Multispecialty Group, PC | 13195 Warwick Blvd, Newport News, VA 23602-8313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veronica B Fowler | Optometry | Myeyedr Optometry of Virginia, Pllc | 12300 Jefferson Ave, Suite 126, Newport News, VA 23602-0003 |
| Leana Aungst | Nurse Practitioner | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Martin A Payne | Emergency Medicine | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Emlyne St Helen | Nurse Practitioner | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Amanda V Chance | Internal Medicine | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Nakita Letitia Harris | Nurse Practitioner | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Shereka Jenkins | Nurse Practitioner | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Dana Jean Keys Frezzell | Internal Medicine | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Rachel M Norum | Nurse Practitioner | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Amaris Irina Tanasescu-koga | Family Medicine | Riverside Physician Services Inc | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 |
| Find all physicians in zip 23602 | |||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEWPORT NEWS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charlotte A 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.