Steven Shane Moore (NPI# 1306101571, PAC ID# 6305084591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1306101571 |
| PAC ID by PECOS | 6305084591 |
| Professional Enrollment ID | I20150709002596 |
| Full Name | Steven Shane Moore |
| Address |
13660 N 94th Dr Suite D1 Peoria AZ 85381-4836 |
| Phone Number | 6239740522 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030061 | BANNER BOSWELL MEDICAL CENTER |
| 031300 | WICKENBURG COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13660 N 94th Dr, Suite D1, Peoria, AZ 85381-4836 | 6239740522 | |
| 519 Rose Ln, Wickenburg, AZ 85390-1448 |
| Street Address |
13660 N 94TH DR SUITE D1 |
| City | PEORIA |
| State | AZ |
| Zip | 85381-4836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith T Bangart | Podiatry | 13660 N 94th Dr, Suite D1, Peoria, AZ 85381-4836 | |
| Jeff C Thomas | Podiatry | 13660 N 94th Dr, Suite F1, Peoria, AZ 85381-4232 | |
| Daniel L Bangart | Podiatry | 13660 N 94th Dr, Suite D1, Peoria, AZ 85381-4836 | |
| Gary N Friedlander | Podiatry | Margaret A. Withrow, Dpm, PC | 13660 N 94th Dr, Suite A3, Peoria, AZ 85381-4836 |
| Margaret A Withrow | Podiatry | Margaret A. Withrow, Dpm, PC | 13660 N 94th Dr, Suite A3, Peoria, AZ 85381-4836 |
| Wayne A Moyer | Podiatry | 13660 N 94th Dr, Suite 3, Peoria, AZ 85381-4232 | |
| Annie Sue Jong | Podiatry | Margaret A. Withrow, Dpm, PC | 13660 N 94th Dr, Suite A3, Peoria, AZ 85381-4836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert N Kim | Chiropractic | 8345 W Thunderbird Rd, B103, Peoria, AZ 85381-3668 | |
| Paulina Simon | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Jane M Kinstler | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Ramin Fathi | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Iain A Black | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Deborah E Zell | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Troy C Ellis | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Artthapol Tanphaichitr | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Christina A Foster | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Brady P Nelson | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Find all physicians in zip 85381 | |||
| City | PEORIA |
| Zip Code | 85381 |
| Specialty | PODIATRY |
| City + Specialty | PEORIA + PODIATRY |
Please comment or provide details below to improve the information on Steven Shane 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.