Patricia A Moore in South Bend - Podiatrist
Patricia A Moore - NPI 1144229246
Patricia A Moore is a Podiatrist in South Bend, Indiana. Patricia A Moore practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Patricia A Moore is 1144229246. The last update date is 2017-12-15.
Patricia A Moore's current location address is 52303 Emmons Rd, South Bend, Indiana. You can contact this provider via phone number 5742775390 and fax number 5742776340. The mailing address for Patricia A Moore is 52303 Emmons Rd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia A Moore |
|---|---|
| Address | 52303 Emmons Rd, South Bend, Indiana |
| Phone Number | 5742775390 |
| Fax Number | 5742776340 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1144229246 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2017-12-15 |
Provider Mailing Address Detail
| Address | 52303 Emmons Rd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466374293 |
| Phone Number | 5742775390 |
| Fax Number | 5742776340 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 5901001129 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100223850A | IN | -- | |
| 1470280 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Patricia A Moore by the Centers for Medicare & Medicaid Services?
The Patricia A Moore has been issued the NPI (National Provider Identifier) 1144229246, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Patricia A Moore is located?
The Patricia A Moore is situated at the following address: 52303 Emmons Rd, South Bend, IN, 466374293.
What is Patricia A Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia A Moore's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144229246 to Patricia A Moore?
The Centers for Medicare & Medicaid Services assigned the 1144229246 to Patricia A Moore on 2005-07-20.
As of what date were the details pertaining to Patricia A Moore last refreshed?
The information related to the Patricia A Moore, including its address, specialty, and other relevant details, was last updated on 2017-12-15.