Lacy M Moore (NPI# 1457682874, PAC ID# 7719172279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457682874 |
| PAC ID by PECOS | 7719172279 |
| Professional Enrollment ID | I20101109001489 |
| Full Name | Lacy M Moore |
| Organization Legal Name | CARMEL CLINIC CORPORATION |
| Address |
2762 Hwy 231 N Shelbyville TN 37160-7315 |
| Phone Number | 9316801559 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002914355 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440137 | TENNOVA HEALTHCARE-SHELBYVILLE |
| Address | Phone | Organization |
|---|---|---|
| 106 Medical Ctr Blvd, Fayetteville, TN 37334-2684 | 9314381100 | APP OF TENNESSEE ED PLLC |
| 2762 Hwy 231 N, Shelbyville, TN 37160-7315 | 9316801559 | CARMEL CLINIC CORPORATION |
| Organization Legal Name | CARMEL CLINIC CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Muhamed Salah Faour | Internal Medicine | Carmel Clinic Corporation | 756 N Main St, Shelbyville, TN 37160-2828 |
| Street Address |
2762 HWY 231 N |
| City | SHELBYVILLE |
| State | TN |
| Zip | 37160-7315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nnamdi I Eze | Hematology/oncology | Tennessee Oncology Pllc | 120 Frank Martin, Shelbyville, TN 37160 |
| Ryan M Carr | Hematology/oncology | Tennessee Oncology Pllc | 120 Frank Martin, Shelbyville, TN 37160 |
| Elizabeth Jean Fulmer | Nurse Practitioner | Tennessee Oncology Pllc | 120 Frank Martin, Shelbyville, TN 37160 |
| April K Bledsoe | Nurse Practitioner | Independent Physical Therapy LLC | 1878 N Main St, Shelbyville, TN 37160-2018 |
| Kristin E Mcbay | Nurse Practitioner | 2012 N Main St, Shelbyville, TN 37160-2022 | |
| Danny L Melson | General Practice | 1701 N Main St, Suite B, Shelbyville, TN 37160-2301 | |
| Frank L Jayakody | Family Practice | 1701 N Main St C, Shelbyville, TN 37160-2301 | |
| Charles L Stimpson | Family Medicine | Magnuson Stimpson Medical Clinic | 1701 N Main St, Suite D, Shelbyville, TN 37160-2301 |
| Pamela Dehmlow | Family Medicine | Magnuson Stimpson Medical Clinic | 1701 N Main St, Suite D, Shelbyville, TN 37160-2301 |
| Stevie Suzanne Pagello | Nurse Practitioner | Magnuson Stimpson Medical Clinic | 1701 N Main St, Suite D, Shelbyville, TN 37160-2301 |
| Find all physicians in zip 37160 | |||
| City | SHELBYVILLE |
| Zip Code | 37160 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHELBYVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lacy M 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.