Zane Tyler Moore (NPI# 1891109963, PAC ID# 7416228101) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1891109963 |
| PAC ID by PECOS | 7416228101 |
| Professional Enrollment ID | I20170728001846 |
| Full Name | Zane Tyler Moore |
| Organization Legal Name | VAFA FERDOWSIAN DPM, P.A. |
| Address |
610 Hwy 5 N Foot and Ankle Specialty Clinic Benton AR 72019-8559 |
| Phone Number | 5013273668 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7719182856 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| 040076 | BAPTIST HEALTH MEDICAL CENTER-HOT SPRINGS COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 610 Hwy 5 N, Foot and Ankle Specialty Clinic, Benton, AR 72019-8559 | 5013273668 | VAFA FERDOWSIAN DPM, P.A. |
| Organization Legal Name | VAFA FERDOWSIAN DPM, P.A. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Dean Steffen Jr. | Podiatry | Vafa Ferdowsian Dpm, P.a. | 4 Medical Plz, Mountain Home, AR 72653-2919 |
| Vafa Ferdowsian | Podiatry | Vafa Ferdowsian Dpm, P.a. | 1120 Hogan Ln, Suite B, Conway, AR 72034-8216 |
| Street Address |
610 HWY 5 N FOOT AND ANKLE SPECIALTY CLINIC |
| City | BENTON |
| State | AR |
| Zip | 72019-8559 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Greenwood | Registered Dietitian Or Nutrition Professional | 1000 Hwy 35 N, Suite 9, Benton, AR 72019 | |
| Kristen Allen | Registered Dietitian Or Nutrition Professional | 1000 Hwy 35 N, Suite 9, Benton, AR 72019 | |
| Allan B Hatch | Cardiovascular Disease (cardiology) | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 | |
| Lori D Wise | Nurse Practitioner | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
| Tyler L Childs | Physician Assistant | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
| Stefani R Ford | Physician Assistant | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
| Tabitha Jaggers | Physician Assistant | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
| Paul J Baxley | Cardiovascular Disease (cardiology) | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
| Brenda H. Nobles | Psychologist, Clinical | 1511 W Sevier St, Suite C, Benton, AR 72019-2400 | |
| Shannon D Parsons | Psychologist, Clinical | Alliant Behavioral Health LLC | 204 Woodland, Benton, AR 72019-2424 |
| Find all physicians in zip 72019 | |||
| City | BENTON |
| Zip Code | 72019 |
| Specialty | PODIATRY |
| City + Specialty | BENTON + PODIATRY |
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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.