| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NATHANAEL DAVID MOORE | 1942769955 | 2024-04-07 |
Nathanael David Moore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942769955. Registration indicates Nathanael David Moore is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Anesthesiology) (Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Nathanael David Moore MD |
| Practice Office Address | 234 GOODMAN ST CINCINNATI, OH US |
| Practice Office Telephone | 5135585235 |
| Mailing Address | 231 ALBERT SABIN WAY CINCINNATI, OH 452670001 US |
| Business Telephone | 5135585235 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 207L00000X PRIMARY | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology All Other Specialties & Provider Types Anesthesiology Allopathic & Osteopathic Physicians | 57.247222
OH |