Active NPI
Mark W Moyer, RPA-C
- Surgical Physician Assistant
- East Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 008128
- Practice address
- 8750 Transit Rd
Suite 105
East Amherst, NY 14051-2610 - Phone
- (716) 636-1470
- Fax
- (716) 636-1423
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 008128 | NY | Primary |
Addresses
Primary practice location
8750 Transit Rd
Suite 105
East Amherst, NY 14051-2610
Mailing address
8750 Transit Rd
Suite 105
East Amherst, NY 14051-2610
Phone (716) 636-1470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BHSM Rehabilitation LLC
Practice addresses (Care Compare)
2222 E Highland Ave
Suite 300
Phoenix, AZ 85016-4879
Phone (602) 277-6211
25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone (602) 610-6866
9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (623) 327-4000
9377 E Bell Rd
Suite 231
Scottsdale, AZ 85260-1503
Phone (602) 277-6211
9780 S Estrella Pkwy
Goodyear, AZ 85338-7114
Phone (623) 474-8101
Hospital & facility affiliations
- Banner Estrella Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.94 of 100
- Quality
- 60.29
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5041 | AZ | MD | General Practice Dentistry |
| 008128 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Toca at Banner Health LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Past | Accepting new patients |
Locations
18700 N 64th Dr
Ste 205
Glendale, AZ 85308
Phone (602) 536-7480
9780 S Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 474-8101
1800 N Civic Sq
Ste 200
Goodyear, AZ 85395
Phone (623) 465-6506
9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120
2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165
2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165
9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549
5002 S Mill Ave
Ste 101
Tempe, AZ 85282
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1821368218
-
- Orthopaedic Surgery Physician
- Glendale, AZ
- NPI 1386270932
-
- Multi-Specialty Clinic/Center
- Page, AZ
- NPI 1366799355
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1316228802
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1851373690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8750 TRANSIT RD",
"address_2": "SUITE 105",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140512610",
"telephone_number": "716-636-1470",
"fax_number": "716-636-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8750 TRANSIT RD",
"address_2": "SUITE 105",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140512610",
"telephone_number": "716-636-1470",
"fax_number": "716-636-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "MARK",
"middle_name": "W",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "008128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.