Holly K Moore (NPI# 1295018968, PAC ID# 6103092408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295018968 |
| PAC ID by PECOS | 6103092408 |
| Professional Enrollment ID | I20120109000840 |
| Full Name | Holly K Moore |
| Organization Legal Name | COEUR D ALENE SPINE AND BRAIN PLLC |
| Address |
3320 N Grand Mill Ln Coeur D Alene ID 83814-5689 |
| Phone Number | 2087659100 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830185859 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130049 | KOOTENAI HEALTH |
| 131328 | BONNER GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2087659100 | COEUR D ALENE SPINE AND BRAIN PLLC |
| Organization Legal Name | COEUR D ALENE SPINE AND BRAIN PLLC |
| Physicians | 1 |
| Street Address |
3320 N GRAND MILL LN |
| City | COEUR D ALENE |
| State | ID |
| Zip | 83814-5689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Earl Hirschi | Chiropractic | 610 N Hubbard St, Suite 114, Coeur D'alene, ID 83814 | |
| Sean Tristan T Cook | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Dustin D Dinning | Rheumatology | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Natalie Rose Cooper | Physical Medicine and Rehabilitation | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Melanie L Enderwick | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Sarah R Nave | Registered Dietitian Or Nutrition Professional | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Orlando E Nunez | Podiatry | 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814-1404 | |
| Kevin M Johnson | General Surgery | Coeur D Alene Surgical and Vein | 608 Northwest Blvd, Coeur D Alene, ID 83814-2174 |
| Steven M Schlough | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Jennifer Duncan | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Find all physicians in zip 83814 | |||
| City | COEUR D ALENE |
| Zip Code | 83814 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COEUR D ALENE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Holly K 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.