John A. Moore, CRNA
Nurse Anesthetist, Certified Registered in Nogales, AZ. Individual provider (NPI-1).
NPI number1528028537
StatusActive
Last updated in NPPESSep 3, 2025
Details
- NPI
- 1528028537
- Entity type
- Individual (NPI-1)
- Name
- John A. Moore
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2006
- Certification date
- Sep 3, 2025
- Last updated
- Sep 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1063 | AZ | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | R53384 | NM |
Practice location
1171 W Target Range RdNogales, AZ 85621-2415
Phone 520-287-4747
Mailing address
3501 E Speedway BlvdTucson, AZ 85716-3917
Phone 520-833-5171 · Fax 888-395-3034
Other practice locations
1313 E. 32nd St
Silver City, NM 88061
Silver City, NM 88061
Phone 575-313-6060
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Certified Registered Nurse Anesthetist providers in Nogales, AZ
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All 9 Certified Registered Nurse Anesthetist providers in Nogales · All 268 providers in Nogales
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