Dale G Moore
EDEN ANESTHESIA SERVICES INC


Address: 31 N Saint Joseph Ave, Niles, MI 49120-2207
Phone: 2696871879

Dale G Moore (NPI# 1861436248, PAC ID# 5193624492) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1861436248
PAC ID by PECOS 5193624492
Professional Enrollment ID I20040106000438
Full Name Dale G Moore
Organization Legal Name EDEN ANESTHESIA SERVICES INC
Address 31 N Saint Joseph Ave
Niles
MI 49120-2207
Phone Number 2696871879
Gender M
Credential CNA
Graduation Year 1992
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 8628041597
Number of Group Practice Members 13
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230021 LAKELAND HOSPITAL, ST JOSEPH

Other Locations

Address Phone Organization
31 N Saint Joseph Ave, Niles, MI 49120-2207 2696871879 EDEN ANESTHESIA SERVICES INC

Organization Information

Organization Legal Name EDEN ANESTHESIA SERVICES INC
Physicians 8

Physicians with the same organization

Name Specialty Organization Address
Christopher L Holman Certified Registered Nurse Anesthetist (crna) Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Andrew C Wirebaugh Certified Registered Nurse Anesthetist (crna) Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Ryan T Hagley Certified Registered Nurse Anesthetist (crna) Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Denise C Brown Certified Registered Nurse Anesthetist (crna) Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Megan Sobbry - Hagley Certified Registered Nurse Anesthetist (crna) Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Lucas A Gravelyn Certified Registered Nurse Anesthetist Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Daniel G Judge Anesthesiology Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207

Office Location

Street Address 31 N SAINT JOSEPH AVE
City NILES
State MI
Zip 49120-2207

Physicians in the same location

Name Specialty Organization Address
Christopher L Holman Certified Registered Nurse Anesthetist (crna) Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Andrew C Wirebaugh Certified Registered Nurse Anesthetist (crna) Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Kevin A Hoffman Emergency Medicine Epmg Southwest Michigan Pllc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Ryan T Hagley Certified Registered Nurse Anesthetist (crna) Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Denise C Brown Certified Registered Nurse Anesthetist (crna) Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Sam William Campbell Emergency Medicine Epmg Southwest Michigan Pllc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Jereme Paul Long Emergency Medicine Epmg Southwest Michigan Pllc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Megan Sobbry - Hagley Certified Registered Nurse Anesthetist (crna) Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Megan A Schrader Emergency Medicine Epmg Southwest Michigan Pllc 31 N Saint Joseph Ave, Niles, MI 49120-2207
James P Kelly Iii Nurse Practitioner Epmg Southwest Michigan Pllc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
William H Fox Podiatry 201 N 17th St, Niles, MI 49120-2100
Kristen A Whitworth Emergency Medicine Epmg Southwest Michigan Pllc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Lucas A Gravelyn Certified Registered Nurse Anesthetist Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
Daniel G Judge Anesthesiology Eden Anesthesia Services Inc 31 N Saint Joseph Ave, Niles, MI 49120-2207
William G Busso Certified Registered Nurse Anesthetist Eden Anesthesia Services Inc. 31 N Saint Joseph Ave, Niles, MI 49120-2207
Scott L Coddington Certified Registered Nurse Anesthetist Eden Anesthesia Services Inc. 31 N Saint Joseph Ave, Niles, MI 49120-2207
Laurie Ann Gee Nurse Practitioner Lakeland Medical Practices 42 N St Joseph Ave, 201 Swmc Womens Health, Niles, MI 49120-2208
Aaron Lanning Nurse Practitioner Lakeland Medical Practices 42 N St Joseph Ave, 300 Lakeland Ear Nose and Throat, Niles, MI 49120-2208
Sharon A Rooney Gandy General Surgery Lakeland Medical Practices 42 N St Joseph Ave, 103 Lakeland Center for Wound Care and Hyperbaric Medi, Niles, MI 49120-2208
Kenneth W Kaufmann Ii Obstetrics/gynecology Lakeland Medical Practices 42 N St Joseph Ave, 201 Swmc Womens Health, Niles, MI 49120-2208
Find all physicians in zip 49120

Competitor

Search similar physicians

City NILES
Zip Code 49120
Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
City + Specialty NILES + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Improve Information

Please comment or provide details below to improve the information on Dale G Moore.

Dataset Information

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.

Trending Searches