Randall D. Moore in Springfield - Nurse Anesthetist, Certified Registered
Randall D. Moore - NPI 1679562532
Randall D. Moore is a Nurse Anesthetist, Certified Registered in Springfield, Illinois. Randall D. Moore practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Randall D. Moore is 1679562532. The last update date is 2007-07-08.
Randall D. Moore's current location address is 800 East Carpenter Street, Springfield, Illinois. You can contact this provider via phone number 2175255643 and fax number 2175442521. The mailing address for Randall D. Moore is 800 East Carpenter Street, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall D. Moore |
|---|---|
| Address | 800 East Carpenter Street, Springfield, Illinois |
| Phone Number | 2175255643 |
| Fax Number | 2175442521 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1679562532 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 800 East Carpenter Street |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627690001 |
| Phone Number | 2175255643 |
| Fax Number | 2175442521 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 41318849 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41318849 | IL | IL LICENSE # | |
| 72807 | IL | AANA# | |
| 209-005619 | IL | IL APN LICENSE # | |
| 371115308 | IL | GROUP - TRICARE | |
| 841504038 | IL | BCBS OF ILLINOIS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Randall D. Moore by the Centers for Medicare & Medicaid Services?
The Randall D. Moore has been assigned the NPI (National Provider Identifier) 1679562532 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Randall D. Moore?
The Randall D. Moore is physically situated at 800 East Carpenter Street, in the city of Springfield, state of IL, with the postal code 627690001.
What is Randall D. Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randall D. Moore is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.
When did Randall D. Moore receive its 1679562532 assignment?
The Randall D. Moore was assigned its 1679562532 on 2005-10-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Randall D. Moore most recently updated or revised?
The information pertaining to Randall D. Moore, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH