Valentina Jordan Moore (NPI# 1639650120, PAC ID# 6901144765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639650120 |
| PAC ID by PECOS | 6901144765 |
| Professional Enrollment ID | I20190221000047 |
| Full Name | Valentina Jordan Moore |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Address |
20 Progress Point Pkwy Suite 206 O Fallon MO 63368-2207 |
| Phone Number | 6363441073 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3072421254 |
| Number of Group Practice Members | 348 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 | 6363441073 | PHYSICIAN GROUPS LC |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Physicians | 360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John David Edward Cooper | Obstetrics/gynecology | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Kwabena Owusu Dekyi | Family Medicine | Physician Groups Lc | 7415 A N Lindbergh Blvd, Hazelwood, MO 63042-2120 |
| Amy Elizabeth Roberts | Family Medicine | Physician Groups Lc | 8888 Ladue Rd, Suite 210, Saint Louis, MO 63124-2005 |
| Jane Isabelle Foreman | Nurse Practitioner | Physician Groups Lc | 605 C Douglas Dr, Ashland, MO 65010-9088 |
| Shahed N Badiyan | Radiation Oncology | Physician Groups Lc | 150 Entrance Way, Siteman Cancer Center, Saint Peters, MO 63376-1645 |
| Carlos A Rubio-reyes | Family Medicine | Physician Groups Lc | 900 Rain Forest Pkwy, Suite B, Columbia, MO 65202-3796 |
| Mindy Lou Doscher | Nurse Practitioner | Physician Groups Lc | 900 W Nifong Blvd, Suite 101, Columbia, MO 65203-4469 |
| Sarah Z Martin | Nurse Practitioner | Physician Groups Lc | 3844 S Lindbergh Blvd, Suite 120, Saint Louis, MO 63127-1369 |
| Mary Hoang | Family Medicine | Physician Groups Lc | 6261 Ronald Reagan Dr, Suite B19, Lake Saint Louis, MO 63367-2665 |
| Melinda C Hart | Nurse Practitioner | Physician Groups Lc | 108 Market St, Glasgow, MO 65254-1053 |
| Street Address |
20 PROGRESS POINT PKWY SUITE 206 |
| City | O FALLON |
| State | MO |
| Zip | 63368-2207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Maloney | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Brian Grus | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Gloria Michelle P Edacheril | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Bridget Doerr | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Genevieve Catherine Matthews | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Yolanda Bledsoe | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Kirsten M Mcdaniel | Obstetrics/gynecology | 20 Progress Point Pkwy, Suite 200, O Fallon, MO 63368-2207 | |
| Andrew Thomas Blackburne | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Christopher Dennis Jaeger | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Loria A Lindsey | Obstetrics/gynecology | 20 Progress Point Pkwy, Suite 200, O Fallon, MO 63368-2207 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin F Clark | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Jeffrey S Swank | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Benjamin L Schaub | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Donald T Thorsen | Occupational Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Theodore S Rummel | Orthopedic Surgery | Piper Spine Care, PC | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 |
| Milton O Ochieng | Gastroenterology | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Angela C Clercx | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Jamie L Tueth | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Martin B Ast | Cardiovascular Disease (cardiology) | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Kendall A Itoku | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Find all physicians in zip 63368 | |||
| City | O FALLON |
| Zip Code | 63368 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | O FALLON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Valentina Jordan 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.