| Jeffrey D Moore, MD | |
|
860 Omni Blvd, Suite #203, Newport News, VA 23606-4237 | |
| (757) 327-0657 | |
| (757) 327-0658 |
| Full Name | Jeffrey D Moore |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 860 Omni Blvd, Newport News, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023099702 | NPI | - | NPPES |
| 186495 | Other | VA | ANTHEM |
| 010195446 | Medicaid | VA | |
| 1820272 | Other | VA | ANTHEM |
| P00294853 | Other | RR/MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 0101040065 (Virginia) | Primary |
| Entity Name | Tidewater Physicians Multispecialty Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Moore, MD 860 Omni Blvd, Suite 303, Newport News, VA 23606-4430 Ph: (757) 232-8777 | Jeffrey D Moore, MD 860 Omni Blvd, Suite #203, Newport News, VA 23606-4237 Ph: (757) 327-0657 |
Dr. Christina M Cawley, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12200 Warwick Blvd Ste 490, Newport News, VA 23601 Phone: 757-534-9988 | |
Daniel Raymond Cavazos, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 730 Thimble Shoals Blvd, Suite 130, Newport News, VA 23606 Phone: 757-873-1554 Fax: 757-873-3239 | |
Martin R Coleman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 Nat Turner Blvd S, Newport News, VA 23606 Phone: 757-596-1900 Fax: 866-420-0168 | |
Dr. Kalain Workman, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd Ste 113, Newport News, VA 23606 Phone: 757-327-0657 Fax: 757-240-5096 | |
Michael Sean Hooker, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 12200 Warwick Blvd, Suite 310, Newport News, VA 23601 Phone: 757-534-9988 Fax: 757-534-5688 | |
Helmuth W Trieshmann Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 751 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-596-1900 Fax: 866-420-0168 |