Pamela M Moore is a Vascular Surgery in Urbana, Illinois. Pamela M Moore practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Pamela M Moore is 1881701308. The last update date is 2014-05-28.
Pamela M Moore's current location address is 611 W. Park St., Urbana, Illinois. You can contact this provider via phone number 2179047000 and fax number 2179047742. The mailing address for Pamela M Moore is 611 W. Park St., Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela M Moore |
|---|---|
| Address | 611 W. Park St., Urbana, Illinois |
| Phone Number | 2179047000 |
| Fax Number | 2179047742 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1881701308 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2014-05-28 |
Provider Mailing Address Detail
| Address | 611 W. Park St. |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012500 |
| Phone Number | 2179047000 |
| Fax Number | 2179047742 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | RN81005 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103086 | MC COCHISE | ||
| 300051634 | MARICOPA FOUND | ||
| 448664 | MERCY CARE | ||
| 103087 | AZ | RR MC PIN | |
| 103087 | MC PIMA | ||
| 1Z1408 | INTERGROUP HEALTHNET | ||
| 300051634 | HUMANA | ||
| 448664 | AHCCCS | ||
| AZ0819900 | AZ | BCBS | |
| 300051634 | AZ | HEALTH PLAN AHP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pamela M Moore by the Centers for Medicare & Medicaid Services?
The Pamela M Moore has been assigned the NPI (National Provider Identifier) 1881701308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Pamela M Moore?
The Pamela M Moore is situated at 611 W. Park St., in the city of Urbana, state of IL, with the zip code 618012500.
What is Pamela M Moore's area of expertise and its corresponding taxonomy classification?
The Pamela M Moore's field of specialization is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their areas of practice.
When did the Pamela M Moore receive its 1881701308?
The Pamela M Moore was issued its 1881701308 on 2006-08-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Pamela M Moore most recently updated or revised?
The information pertaining to Pamela M Moore, including its address, specialty, and other relevant details, was last updated or revised on 2014-05-28.