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MICHAEL MOORE CCP
NPI 1659409092
Specialist in Phoenix, AZ

Active since February 28, 2007
10930 N TATUM BLVD, #103, PHOENIX, AZ 85028(602) 263-7600(602) 212-0365 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Moore Ccp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL MOORE CCP (NPI 1659409092) is an individual specialist in Phoenix, Arizona and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1659409092
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMICHAEL MOORECredential: CCP
Location Address10930 N TATUM BLVD, #103Phoenix, AZ 85028-6069
Mailing Address10930 N Tatum Blvd, #103Phoenix, AZ 85028-6069 · (602) 263-7600 · Fax (602) 212-0365
Phone(602) 263-7600
Fax(602) 212-0365
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659409092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10930 N TATUM BLVD, Phoenix, AZ 85028
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSSELL FORNATOR CCP
Specialist
10930 N TATUM BLVD, #103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
CHARLES P ALTENBERN CCP
Specialist
10930 N TATUM BLVD, #103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
CARDIAC CONCEPTS, LLC
Specialist
10930 N TATUM BLVD, 103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
JESSICA RUSS CCP
Perfusionist
10930 N TATUM BLVD, STE 103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
JERRY L DUNKER CCP
Specialist
10930 N TATUM BLVD, #103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
KELSEY SLUGOCKI PA-C
Physician Assistant
10930 N TATUM BLVD, STE 103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
MICHAEL P CASKEY MD
Specialist/Technologist Cardiovascular (Vascular Specialist)
10930 N TATUM BLVD, STE 103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
MALIA GOOZEN-SUOR MS, CCP
Perfusionist
10930 N TATUM BLVD, 103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Moore's NPI number?

The NPI number for Michael Moore is 1659409092. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Michael Moore located?

Michael Moore practices at 10930 N Tatum Blvd #103, Phoenix, AZ 85028. The listed phone number is (602) 263-7600.

What is Michael Moore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michael Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.