| Timothy E Moore, MD | |
|
13207 Ravenna Rd, Chardon, OH 44024-7032 | |
| (440) 285-6000 | |
| (216) 844-5922 |
| Full Name | Timothy E Moore |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 13207 Ravenna Rd, Chardon, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548288756 | NPI | - | NPPES |
| 0304914 | Other | OH | BCMH |
| P00358817 | Other | OH | RAILROAD MEDICARE |
| 2437385 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35-082645 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hillcrest Hospital | Mayfield heights, OH | Hospital |
| Ashtabula County Medical Center | Ashtabula, OH | Hospital |
| Euclid Hospital | Euclid, OH | Hospital |
| Cleveland Clinic | Cleveland, OH | Hospital |
| Akron General Medical Center | Akron, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Clinic Medical Services Company, Llc | 5698674653 | 229 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | Clinic Medical Services Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528013984 PECOS PAC ID: 5698674653 Enrollment ID: O20040108000271 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy E Moore, MD 24701 Euclid Ave, Third Floor, Euclid, OH 44117-1714 Ph: (440) 285-6000 | Timothy E Moore, MD 13207 Ravenna Rd, Chardon, OH 44024-7032 Ph: (440) 285-6000 |
Carol S Shamakian, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 Fax: 216-844-5922 | |
Arezou Faraji, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 Fax: 216-844-5922 | |
Baz P Debaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 Fax: 216-844-5922 | |
Molly M Yohann, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 Fax: 216-844-5922 | |
Dr. Jennifer Lynn Davis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 10715 Cottage Hill Ln, Chardon, OH 44024 Phone: 440-452-4051 | |
Andrew H Myers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 Fax: 216-844-5922 |