KENNETH E MOORE PA C
NPI 1013023407
Physician Assistant in Walla Walla, WA
NPI Status: Active since August 21, 2006
Contact Information
1313 N 13TH AVE
WALLA WALLA, WA
ZIP 99362
Phone: (509) 200-2852
Fax: (509) 522-5899
- Individual
- Male
- Physician Assistant
About KENNETH MOORE
This page provides the complete NPI Profile along with additional information for Kenneth Moore, a primary care provider established in Walla Walla, Washington with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1013023407 assigned on August 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA10003031 (WA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1013023407
- Provider Name
- KENNETH E MOORE PA C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1313 N 13TH AVE WALLA WALLA, WA 99362
- Location Phone
- (509) 200-2852
- Location Fax
- (509) 522-5899
- Mailing Address
- 615 UNIVERSITY ST WALLA WALLA, WA 99362
- Mailing Phone
- (509) 200-2852
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-21-2006
- Last Update Date
- 06-30-2009
- Code Navigator
A primary care provider (PCP) like Kenneth Moore sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA10003031
- License State
- WA
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| R31829 | MEDICARE UPIN (02) | ||
| 1081678 | MEDICAID (05) | WA | |
| AB02410 | MEDICARE ID-TYPE UNSPECIFIED (04) | WA |
Reviews for KENNETH E MOORE PA C
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 2 | 3 | 4 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 2 | 6 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 2 + 6 + 4 + 0 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1013023407 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346492162 | MR. NATHAN BAKER PHARM-D Individual | Pharmacist | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 524-7520 |
| 1811206717 | HUGO JONATHAN REYES PA-C Individual | Physician Assistant (Medical) | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 525-3610 |
| 1942545710 | JO ELLA LEE PHILLIPS PA-C Individual | Physician Assistant | 1313 N 13TH AVE WALLA WALLA, WA 99362 (208) 284-0999 |
| 1639542020 | MAXIM HEALTHCARE SERVICES, INC. Organization | Dentist | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 525-3610 |
| 1235644634 | THOMPSON & THOMPSON PHYSICAL THERAPY, PS Organization | Clinic/Center (Physical Therapy) | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 525-3610 |
| 1588093280 | MS. JENNIFER LAUREN MEYERS Individual | Physician Assistant | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 525-3610 |
| 1427006246 | DR. BRIAN WALKER M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1313 N 13TH AVE WALLA WALLA, WA 99362 (405) 314-2614 |
| 1811463623 | CHERYL ANN CAMPBELL LICSW, CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 526-6506 |
| 1003449695 | LIAM C WALL CNA Individual | Counselor (Addiction (Substance Use Disorder)) | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 525-3610 |
| 1043963366 | NOHEMY SANCHEZ SUDPT Individual | Counselor (Addiction (Substance Use Disorder)) | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 525-3610 |
| 1699428953 | YAJAIRA WALTERMIRE SUDPT Individual | Counselor (Addiction (Substance Use Disorder)) | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 525-3610 |
| 1073963658 | ALONSO DARIO PEZO SALAZAR M.D. Individual | Internal Medicine (Infectious Disease) | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 525-3610 |
| 1053145433 | SHARON HAM Individual | Physical Therapist | 1313 N 13TH AVE WALLA WALLA, WA 99362 (509) 525-3610 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013023407, enumerated in the NPI registry as an "individual" on August 21, 2006
The provider is located at 1313 N 13th Ave Walla Walla, Wa 99362 and the phone number is (509) 200-2852
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.