Mary R Moore, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

034710 Issued in ME

Practice address

489 State St
C/O Emmc
Bangor, ME 04401-6616

Phone

(207) 973-4519

Fax

(207) 992-4132

NPI assigned

Sep 21, 2006

Last updated

Mar 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Ams National LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1316330830

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Florida Clinical Practice Association Inc

  dba UF Health Physicians

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768
  Medicare reassignment NPD
• Ocala Anesthesia Ams LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1699197343

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Solace Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Oxford, FL
  • NPI 1962046151

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• St Lucie Anesthesia Associates LLC

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1700044252
  Medicare reassignment NPD
• Florida Clinical Practice Association Inc

  dba UF Health Family Medicine Ocala Heath Brook

  • Durable Medical Equipment & Medical Supplies
  • Ocala, FL
  • NPI 1609529478
  NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Clermont, FL
  • NPI 1881633444

  Nurse Anesthetist, Certified Registered

  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1578429460
  NPD
• St. Lucie Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1851252902
  NPD
• Norumbega Medical Specialists, LTD

  • Health Service Clinic/Center
  • Brewer, ME
  • NPI 1780821140
  NPD (past)
• True North Anesthesia L.L.C.

  • Certified Registered Nurse Anesthetist
  • Bangor, ME
  • NPI 1194176040

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Florida Hospital Ocala Inc

  dba Advent Health Ocala

  • General Acute Care Hospital
  • Ocala, FL
  • NPI 1740772268
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1376642173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST STE 205",
            "address_2": "EMMC",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122055",
            "telephone_number": "207-973-4519",
            "fax_number": "207-992-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "address_2": "C/O EMMC",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-4519",
            "fax_number": "207-992-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "034710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Moore, CADC
• Evan C Moore, DNP
• Madison Rose Moore
• Marsha A. Moore
• Mary D Moore, LCSW
• Nicole K Moore, PAC
• Robert Danny Moore, DDS, MD
• Melinda Rae Moran, RDH
• Renee Marie Moran, P.T.
• Kathryn Marie Mordino, ANP-BC

• Certified Registered Nurse Anesthetist in Bangor, ME
• Providers in Bangor, ME by specialty
• Certified Registered Nurse Anesthetist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.