| Zachary Ryan Moore, MD | |
|
Medical Center Boulevard, Winston Salem, NC 27157-0001 | |
| (336) 716-4498 | |
| Not Available |
| Full Name | Zachary Ryan Moore |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | Medical Center Boulevard, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588292379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2023-01605 (North Carolina) | Secondary |
| 207L00000X | Anesthesiology | MMD.92139 (South Carolina) | Primary |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760114664 PECOS PAC ID: 3072425297 Enrollment ID: O20040108000827 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Ryan Moore, MD 339 Tigers Eye Run, Duncan, SC 29334-8896 Ph: () - | Zachary Ryan Moore, MD Medical Center Boulevard, Winston Salem, NC 27157-0001 Ph: (336) 716-4498 |
Craig Michael Combs, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. Susan Elizabeth Atkin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. Adair Quattlebaum Locke, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 | |
Johan Suyderhoud, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-3202 | |
James Joseph O'brien, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Herbert Mynatt Floyd, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Ann E Lawrence, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Winston Salem, NC 27103 Phone: 336-716-7194 |