Jennifer R Pease Moreno (NPI# 1003031642, PAC ID# 7517943335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1003031642 |
| PAC ID by PECOS | 7517943335 |
| Professional Enrollment ID | I20080201000020 |
| Full Name | Jennifer R Pease Moreno |
| Organization Legal Name | PARKVILLE ANESTHESIA LLC |
| Address |
19 Fontana Ln Suite 104 Baltimore MD 21237-3027 |
| Phone Number | 9413601566 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2003 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4981838927 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210009 | JOHNS HOPKINS HOSPITAL, THE |
| Address | Phone | Organization |
|---|---|---|
| 19 Fontana Ln, Suite 104, Baltimore, MD 21237-3027 | 9413601566 | PARKVILLE ANESTHESIA LLC |
| 600 N Wolfe St, Baltimore, MD 21287-0005 | 4109555000 | JOHNS HOPKINS UNIVERSITY |
| Organization Legal Name | PARKVILLE ANESTHESIA LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larra M Feezer | Certified Registered Nurse Anesthetist (crna) | Parkville Anesthesia LLC | 19 Fontana Ln, Suite 104, Baltimore, MD 21237-3027 |
| Street Address |
19 FONTANA LN SUITE 104 |
| City | BALTIMORE |
| State | MD |
| Zip | 21237-3027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Florence Nguh | Nurse Practitioner | Ideal Telemedicine Services LLC | 19 Fontana Ln, Suite 108, Rosedale, MD 21237-3097 |
| Peggy A Mahler | Nurse Practitioner | Ideal Telemedicine Services LLC | 19 Fontana Ln, Suite 108, Rosedale, MD 21237-3097 |
| David B Lumsden | Orthopedic Surgery | 19 Fontana Ln, 208 210, Rosedale, MD 21237-3047 | |
| Larra M Feezer | Certified Registered Nurse Anesthetist (crna) | Parkville Anesthesia LLC | 19 Fontana Ln, Suite 104, Baltimore, MD 21237-3027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen K Binas | Clinical Social Worker | 1808 Ellinwood Rd, Rosedale, MD 21237-1738 | |
| Marcelino Rufino Vicente Jr. | Clinical Social Worker | Daniel P. Strickler, Ph.d., P.a. | 6304 Kenwood Ave, Suite 2a, Baltimore, MD 21237-2085 |
| Erin B Shaffer | Clinical Psychologist | Daniel P. Strickler, Ph.d., P.a. | 6304 Kenwood Ave 2 Evans Professional Bldg, Rosedale Psychological Services, Baltimore, MD 21237-2085 |
| Randall S Nero | Psychologist, Clinical | Daniel P. Strickler, Ph.d., P.a. | 6304 Kenwood Ave, Suite 2a, Baltimore, MD 21237-2085 |
| Daniel P Strickler | Psychologist, Clinical | Daniel P. Strickler, Ph.d., P.a. | 6304 Kenwood Ave, Suite 2a, Baltimore, MD 21237-2085 |
| Christina Strakes | Psychologist, Clinical | 6700 Fordcrest Rd, Baltimore, MD 21237-2109 | |
| Julie Marie Brett | Clinical Social Worker | Thrive Behavioral Health, LLC | 8967 Yellow Brick Rd, A, Rosedale, MD 21237-2303 |
| John C Gordon | Orthopedic Surgery | 1232 Race Rd, Suite 102, Baltimore, MD 21237-2362 | |
| Gregory K Lemoine | Physical Therapy | 1232 Race Rd, Suite 203, Baltimore, MD 21237-2376 | |
| Melanie M Magpantay Garcia | Pediatric Medicine | Kiddie Health Pediatrics, LLC | 1232 Race Rd, Baltimore, MD 21237-2376 |
| Find all physicians in zip 21237 | |||
| City | BALTIMORE |
| Zip Code | 21237 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BALTIMORE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jennifer R Pease Moreno.
| 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.