Mary Kathleen Moore, D.O. is an emergency medical services emergency medicine in Tahlequah, OK with 23 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Mary Kathleen Moore, D.O. NPI is 1902837776. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2001
The provider's business location address is:
100 S BLISS AVE
TAHLEQUAH, OK
ZIP 74464-512
Phone: (918) 458-3104
Fax: (918) 458-3580
The NPI 1902837776 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/8/2007.