Scott Moore (NPI# 1730177122, PAC ID# 5193781532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1730177122 |
PAC ID by PECOS | 5193781532 |
Professional Enrollment ID | I20041207000771 |
Full Name | Scott Moore |
Address |
3140 W Silver Lake Rd Fenton MI 48430-1321 |
Gender | M |
Credential | OD |
Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
Graduation Year | 2004 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1235 S Ctr Rd, Suite 16, Burton, MI 48509-1700 | ||
3140 W Silver Lake Rd, Fenton, MI 48430-1321 |
Street Address |
3140 W SILVER LAKE RD |
City | FENTON |
State | MI |
Zip | 48430-1321 |
Name | Specialty | Organization | Address |
---|---|---|---|
Harold S Sommerschield | Psychologist, Clinical | 14165 N Fenton Rd, 101b, Fenton, MI 48430-1148 | |
Courtney M Kernstock | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
Jennifer Hogan | Nurse Practitioner | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
Yasas Rodrigo | Family Medicine | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
Olivia Glidden | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
Jameka K Mcelroy | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
Scott D Mcdowell | Optometry | 2472 S Long Lake Rd, Fenton, MI 48430-1462 | |
Mark D Wilkerson | Emergency Medicine | Advanced Medical House Calls Plc | 14165 N Fenton Rd, 201a, Fenton, MI 48430-1584 |
Deborah J Sperry | Nurse Practitioner | Advanced Medical House Calls Plc | 14165 N Fenton Rd, 201a, Fenton, MI 48430-1584 |
Kristina Michelle Danko | Nurse Practitioner | Advanced Medical House Calls Plc | 14165 N Fenton Rd, 201a, Fenton, MI 48430-1584 |
Find all physicians in zip 48430 |
City | FENTON |
Zip Code | 48430 |
Specialty | OPTOMETRY |
City + Specialty | FENTON + OPTOMETRY |
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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.