Samuel Austin Moore, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

13-93244-062 Issued in KS

Practice address

823 SW Mulvane St
Suite 210
Topeka, KS 66606-1764

Phone

(785) 235-3451

NPI assigned

Jan 3, 2010

Sex

Male

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 KS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates LLPGroup PAC ID 4587631064, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manhattan Surgical Hospital LLC Hospital, Manhattan, KS, CCN 170190
• Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142
• Clay County Medical Center Hospital, Clay Center, KS, CCN 171371
• Mitchell County Hospital Health Systems Hospital, Beloit, KS, CCN 171375

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Manhattan Surgical Hospital LLC

  • Special Hospital
  • Manhattan, KS
  • NPI 1629053228

  General Partnership Interest

  CMS ownership

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

• Anesthesia Associates LLP

  • Certified Registered Nurse Anesthetist
  • Manhattan, KS
  • NPI 1043285935

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Topeka PA

  • Anesthesiology Physician
  • Topeka, KS
  • NPI 1518933837
  NPD (past)

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

• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517
  Care Compare affiliation
• Clay County Medical Center

  • Critical Access Hospital
  • Clay Center, KS
  • NPI 1265485817
  Care Compare affiliation
• Manhattan Surgical Hospital LLC

  • Special Hospital
  • Manhattan, KS
  • NPI 1629053228
  Care Compare affiliation
• Mitchell County Hospital Health Systems

  • Critical Access Hospital
  • Beloit, KS
  • NPI 1427151992
  Care Compare affiliation

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

{
    "created_epoch": "1262476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262476800000",
    "number": "1447580139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "address_2": "SUITE 210",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "785-235-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "address_2": "SUITE 210",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "785-235-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SAMUEL",
        "middle_name": "AUSTIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-03",
        "last_updated": "2010-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "13-93244-062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsie Moore
• Kerri Elizabeth Moore, DNP, APRN-BC
• Lisa Moore, PTA
• Melissa Moore
• Michelle-Lee Moore, APRN
• Shaun Moore, LMSW
• Sidney N Moore, OT
• Tanner B Moore, PHARM. D
• William Edward Moore, MSW, LSCSW
• Querie Morales Carrasquillo

• Certified Registered Nurse Anesthetist in Topeka, KS
• Providers in Topeka, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.