Trudy J Moore (NPI# 1023099488, PAC ID# 7416904305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1023099488 |
| PAC ID by PECOS | 7416904305 |
| Professional Enrollment ID | I20050506000768 |
| Full Name | Trudy J Moore |
| Organization Legal Name | STEUBEN RADIOLOGY ASSOCIATES INC |
| Address |
1601 Maple St Blanchard OK 73010-9251 |
| Phone Number | 4054854778 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2961416946 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260186 | LAKE REGIONAL HEALTH SYSTEM |
| 360211 | TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST |
| 260047 | CAPITAL REGION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1921 Stonecipher Dr, Ada, OK 74820-3439 | 5804363980 | CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER |
| 212 Homestead Dr, Bartlesville, OK 74006-2919 | 9186075927 | FRED SMELTZER MD AND ASSOCIATES INC |
| 1601 Maple St, Blanchard, OK 73010-9251 | 4054854778 | STEUBEN RADIOLOGY ASSOCIATES INC |
| 1601 Maple St, Blanchard, OK 73010-9251 | 4054854776 | FRED SMELTZER MD AND ASSOCIATES INC |
| 7011 Millennium Dr, Fort Smith, AR 72916-8825 | 4054160402 | STEUBEN RADIOLOGY ASSOCIATES INC |
| 7011 Millennium Dr, Fort Smith, AR 72916-8825 | 6122944903 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 7011 Millennium Dr, Fort Smith, AR 72916-8825 | 9525951100 | FRED SMELTZER MD AND ASSOCIATES INC |
| Organization Legal Name | STEUBEN RADIOLOGY ASSOCIATES INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence S Liebman | Diagnostic Radiology | Steuben Radiology Associates Inc | 500 E 77th St, Apt 524, New York, NY 10162-0002 |
| Robert L Miller | Diagnostic Radiology | Steuben Radiology Associates Inc | 280 Island Ave, Apt 1501, Reno, NV 89501-1806 |
| Jacob E Brown | Diagnostic Radiology | Steuben Radiology Associates Inc | 2011 Spring Hill Rd, Pittsburgh, PA 15243-1416 |
| Kimberly E Fagen | Diagnostic Radiology | Steuben Radiology Associates Inc | 9322 Pebble Beach Court E, Seminole, FL 33777-4532 |
| Jeffrey Clark | Diagnostic Radiology | Steuben Radiology Associates Inc | 380 Summit Ave, Steubenville, OH 43952-2667 |
| Raymond J Facco | Diagnostic Radiology | Steuben Radiology Associates Inc | 32848 N 43rd St, Cave Creek, AZ 85331-5089 |
| Peter B Zelinka | Diagnostic Radiology | Steuben Radiology Associates Inc | 221 N Parker Hill Rd, Killingworth, CT 06419-1124 |
| Peter T Verhey | Diagnostic Radiology | Steuben Radiology Associates Inc | 4 Black Horse Ct, Washoe Valley, NV 89704-8557 |
| Michael C Rethy | Diagnostic Radiology | Steuben Radiology Associates Inc | 3310 Ordway St Nw, Washington, DC 20008-3260 |
| Amy Elizabeth J Brice | Diagnostic Radiology | Steuben Radiology Associates Inc | 2 Overlook Dr, Sandwich, MA 02563-2349 |
| Street Address |
1601 MAPLE ST |
| City | BLANCHARD |
| State | OK |
| Zip | 73010-9251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson R Hochwalt | Registered Dietitian Or Nutrition Professional | 6420 Maple Ridge Ln, Blanchard, OK 73010-2905 | |
| Vincent M Young | Optometry | 112 S Main, Blanchard, OK 73010-5532 | |
| Brant D Spencer | Chiropractic | 104 S Main St, Blanchard, OK 73010-5532 | |
| Misty M Bogle | Family Medicine | Saints Medical Group, LLC | 2002 N Council Ave, Blanchard, OK 73010-8038 |
| Denise Joan Martin | Nurse Practitioner | Saints Medical Group, LLC | 2002 N Council Ave, Blanchard, OK 73010-8038 |
| Ryan R Turner | Family Medicine | Norman Regional Providers-primary Care | 1019 N Council Ave, 1 Primary Care Blanchard, Blanchard, OK 73010-8046 |
| Leslie D Butler | Nurse Practitioner | Norman Regional Providers-primary Care | 1019 N Council Ave, 1 Primary Care Blanchard, Blanchard, OK 73010-8046 |
| Ashley Nicole Gutierrez | Physical Therapy | Ptms 3.0 LLC | 845 E Veterans Memorial Hwy, Physical Therapy Central of Blanchard, Blanchard, OK 73010-9215 |
| Benjamin W Buchanan | Physical Therapy | Ptms 3.0 LLC | 845 E Veterans Memorial Hwy, Physical Therapy Central of Blanchard, Blanchard, OK 73010-9215 |
| Janie M Taylor | Physical Therapy | Ptms 3.0 LLC | 845 E Veterans Memorial Hwy, Physical Therapy Central of Blanchard, Blanchard, OK 73010-9215 |
| Find all physicians in zip 73010 | |||
| City | BLANCHARD |
| Zip Code | 73010 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BLANCHARD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Trudy J 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.