BRET A MOORE PA-C
NPI 1639108004
Physician Assistant in Ottumwa, IA

NPI Status: Active since June 30, 2006

Contact Information

920 N QUINCY AVE
OTTUMWA, IA
ZIP 52501
Phone: (641) 455-5200
Fax: (641) 455-5150

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  • Individual
  • Male
  • Physician Assistant

About BRET MOORE

This page provides the complete NPI Profile along with additional information for Bret Moore, a primary care provider established in Ottumwa, Iowa with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1639108004 assigned on June 2006. The practitioner's primary taxonomy code is 363A00000X with license number 087087 (IA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1639108004
Provider Name
BRET A MOORE PA-C
Gender
Male
Entity Type
Individual
Location Address
920 N QUINCY AVE OTTUMWA, IA 52501
Location Phone
(641) 455-5200
Location Fax
(641) 455-5150
Mailing Address
920 N QUINCY AVE OTTUMWA, IA 52501
Mailing Phone
(641) 455-5200
Mailing Fax
(641) 455-5150
Is Sole Proprietor?
No
Enumeration Date
06-30-2006
Last Update Date
07-21-2022
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A primary care provider (PCP) like Bret 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.
087087
License State
IA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

1436 (NE)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA10004070 (WA)
3363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA162693 (OR)

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
0219804OTHER (01)WAL&I
560910078OTHER (01)IAMEDICARE PTAN
087087OTHER (01)IAIOWA LICENSE
8354698MEDICAID (05)WA 

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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.
1639108004
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669201600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 0 + 1 + 6 + 0 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1639108004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548236664 ELIZABETH SIITARI MD
Individual
Family Medicine920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1245671122MS. SHELLY ANN EDWARDS ARNP
Individual
Nurse Practitioner (Family)920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1447225123 STEWART JOHN KANIS DO
Individual
Family Medicine920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1407156458 DAVID LEE BURROWS ARNP
Individual
Nurse Practitioner (Family)920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1316189004MS. BETHANNE STEVENS ARNP, FNP-C
Individual
Nurse Practitioner (Family)920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1538601968 JENNIFER ANN BOLEY ARNP
Individual
Nurse Practitioner (Family)920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1376208785MRS. HOLLY NICOLE DUNLAVY ARNP
Individual
Nurse Practitioner920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1366187577 BRITTNEY KAYE JANSEN ARNP
Individual
Nurse Practitioner920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1215316401 ALLISON MARIE CRALL ARNP
Individual
Nurse Practitioner (Family)920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1740500099 HEIDI LEIGH VAN MAANEN D.O.
Individual
Family Medicine920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1841294881DR. JOSEPH IRA COLEMAN M.D.
Individual
Obstetrics & Gynecology920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1508101221PELLA REGIONAL HEALTH CENTER
Organization
Clinic/Center (Rural Health)920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1760160485 KILEY ANN HOWELL ARNP
Individual
Nurse Practitioner (Family)920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200
1467219337 VICTORIA LYNN MORRIS FNP
Individual
Nurse Practitioner (Family)920 N QUINCY AVE
OTTUMWA, IA 52501
(641) 455-5200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639108004, enumerated in the NPI registry as an "individual" on June 30, 2006

The provider is located at 920 N Quincy Ave Ottumwa, Ia 52501 and the phone number is (641) 455-5200

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 June 30, 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].
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