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CHRISTOPHER AL MORENO M.D. NPI 1275589905


NPI Information

NPI: 1275589905
Provider Name: CHRISTOPHER AL MORENO, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
307 ST. JOHNS WAY
SUITE 11
LEWISTON, ID
ZIP 83501
Phone: (208) 743-7612
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Christopher Al Moreno, M.D. is a surgery in Lewiston, ID. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Christopher Al Moreno, M.D. NPI is 1275589905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

307 ST. JOHNS WAY
SUITE 11
LEWISTON, ID
ZIP 83501
Phone: (208) 743-7612
Fax: (208) 746-4802

The enumeration date for this NPI number is 5/25/2006 and was last updated on 9/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryMD00024021WASHINGTONNo
2208600000XSurgeryM5071IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000010002753OTHERIDAHOREGENCE BLUE SHIELD OF ID
2002599100MEDICAIDIDAHO
3020006062OTHERRAILROAD MEDICARE
4D0782OTHERIDAHOBLUE CROSS OF IDAHO
51021856MEDICAIDWASHINGTON
6GAB20900MEDICARE PINWASHINGTON
7020006062MEDICARE PIN
88909565OTHERWASHINGTONWA CRIME VICTIMS PROGRAM
9C36964MEDICARE UPINIDAHO
1082040040083501A003OTHERIDAHOTRICARE/TRI WEST
110096144OTHERWASHINGTONWA LABOR & INDUSTRY
121118856MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.