Melissa Moore (NPI# 1336571298, PAC ID# 4486878154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336571298 |
| PAC ID by PECOS | 4486878154 |
| Professional Enrollment ID | I20140619001297 |
| Full Name | Melissa Moore |
| Organization Legal Name | EAST KY HEALTH SERVICE CENTER |
| Address |
566 Hwy 899 Hindman KY 41822-8955 |
| Phone Number | 6067853164 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901844711 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180029 | HAZARD ARH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 566 Hwy 899, Hindman, KY 41822-8955 | 6067853164 | EAST KY HEALTH SERVICE CENTER |
| Organization Legal Name | EAST KY HEALTH SERVICE CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Warren G Stumbo | Family Medicine | East Ky Health Service Center | 566 Hwy 899, Hindman, KY 41822-8955 |
| Tansy Lee Hall | Nurse Practitioner | East Ky Health Service Center | 566 Hwy 899, Hindman, KY 41822-8955 |
| Street Address |
566 HWY 899 |
| City | HINDMAN |
| State | KY |
| Zip | 41822-8955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Warren G Stumbo | Family Medicine | East Ky Health Service Center | 566 Hwy 899, Hindman, KY 41822-8955 |
| Tansy Lee Hall | Nurse Practitioner | East Ky Health Service Center | 566 Hwy 899, Hindman, KY 41822-8955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candida Dixon | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 58 W Hwy 80e 2, Hindman, KY 41822 |
| Christie L Wooton | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 58 W Hwy 80e 2, Hindman, KY 41822 |
| Amy Fowler | Internal Medicine | Primary Care Centers of Eastern Kentucky, LLC | 58 W Hwy 80e 2, Hindman, KY 41822 |
| Lucreasie R Lewis | Nurse Practitioner | Kentucky River District Health Department | 880 W Main St, Hindman, KY 41822-8004 |
| Kevin Davis | Physician Assistant | 70 Holly Hills Mall Rd, Hindman, KY 41822-9121 |
| City | HINDMAN |
| Zip Code | 41822 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HINDMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melissa 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.