Jeffery W Moore in Tipton - Anesthesiologist Assistant
Jeffery W Moore - NPI 1801870480
Jeffery W Moore is a Anesthesiologist Assistant in Tipton, Indiana. Jeffery W Moore practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Jeffery W Moore is 1801870480. The last update date is 2014-10-01.
Jeffery W Moore's current location address is 1000 S Main St, Tipton, Indiana. You can contact this provider via phone number 7656758521 and fax number 7656758520. The mailing address for Jeffery W Moore is 1000 S Main St, Tipton, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery W Moore |
|---|---|
| Address | 1000 S Main St, Tipton, Indiana |
| Phone Number | 7656758521 |
| Fax Number | 7656758520 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1801870480 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2014-10-01 |
Provider Mailing Address Detail
| Address | 1000 S Main St |
|---|---|
| City | Tipton |
| State | Indiana (IN) |
| Post Code | 460729753 |
| Phone Number | 7656758521 |
| Fax Number | 7656758520 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 28087122 |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200345230A | IN | -- | |
| 200345230 | IN | -- | |
| 603596 | IN | ANTHEM - TIPTON HOSPITAL |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffery W Moore by the Centers for Medicare & Medicaid Services?
The Jeffery W Moore has been assigned the NPI (National Provider Identifier) 1801870480. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeffery W Moore is physically located?
The Jeffery W Moore is situated at the following address: 1000 S Main St, Tipton, IN 460729753.
What is Jeffery W Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffery W Moore is Anesthesiologist Assistant, and the corresponding taxonomy classification code for this specialized field is 367H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801870480 to Jeffery W Moore?
The Centers for Medicare & Medicaid Services assigned the 1801870480 to Jeffery W Moore on 2005-12-06.
As of what date were the details related to Jeffery W Moore most recently updated or revised?
The information pertaining to Jeffery W Moore, including its address, specialty, and other relevant details, was last updated or revised on 2014-10-01.