| John Michael Moore, NP-C | |
|
1403 E Sego Lily Dr Ste 100, Sandy, UT 84092-4350 | |
| (801) 265-2212 | |
| Not Available |
| Full Name | John Michael Moore |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 1403 E Sego Lily Dr Ste 100, Sandy, Utah |
| 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 |
|---|---|---|---|
| 1902154172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 8205692-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| Lone Peak Hospital | Draper, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jordan Ridge Family Medicine Llc | 8820091473 | 14 |
| University Of Utah Community Physicians Group | 9739403569 | 255 |
| Entity Name | Jordan Ridge Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770509754 PECOS PAC ID: 8820091473 Enrollment ID: O20060821000255 |
| Entity Name | University Of Utah Community Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
| Entity Name | Douglas Vogeler Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811555642 PECOS PAC ID: 0345576336 Enrollment ID: O20190729003736 |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Moore, NP-C Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 954-7672 | John Michael Moore, NP-C 1403 E Sego Lily Dr Ste 100, Sandy, UT 84092-4350 Ph: (801) 265-2212 |
Loandra Berg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Ste 110, Sandy, UT 84094 Phone: 801-501-6100 | |
Angela Marie Miller, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11562 S Hickory Valley Dr, Sandy, UT 84092 Phone: 435-901-1995 | |
Theresa Brooke Sligting, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9600 S 1300 E Ste 220, Sandy, UT 84094 Phone: 801-571-0009 | |
Benjamin Zachariah Rollins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 E Mingo Park Dr, Sandy, UT 84070 Phone: 801-554-4784 | |
Miriam Dawn Hughes, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Sandy, UT 84094 Phone: 801-501-2160 | |
Dylan Roy Richmond, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7984 S 1300 E, Sandy, UT 84094 Phone: 916-412-6333 | |
Jennifer Lyn Aragon, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9980 S 300 W Ste 200, Sandy, UT 84070 Phone: 385-495-4151 Fax: 844-596-0409 |