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
- 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
- Code Navigator
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) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 1436 (NE) |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA10004070 (WA) |
| 3 | 363A00000X | Physician 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 |
|---|---|---|---|
| 0219804 | OTHER (01) | WA | L&I |
| 560910078 | OTHER (01) | IA | MEDICARE PTAN |
| 087087 | OTHER (01) | IA | IOWA LICENSE |
| 8354698 | MEDICAID (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. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 0 | 8 | 0 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 0 | 16 | 0 | 0 | |
| 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 = 4 | 4 | ||||||||
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 Medicine | 920 N QUINCY AVE OTTUMWA, IA 52501 (641) 455-5200 |
| 1245671122 | MS. 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 Medicine | 920 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 |
| 1316189004 | MS. 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 |
| 1376208785 | MRS. HOLLY NICOLE DUNLAVY ARNP Individual | Nurse Practitioner | 920 N QUINCY AVE OTTUMWA, IA 52501 (641) 455-5200 |
| 1366187577 | BRITTNEY KAYE JANSEN ARNP Individual | Nurse Practitioner | 920 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 Medicine | 920 N QUINCY AVE OTTUMWA, IA 52501 (641) 455-5200 |
| 1841294881 | DR. JOSEPH IRA COLEMAN M.D. Individual | Obstetrics & Gynecology | 920 N QUINCY AVE OTTUMWA, IA 52501 (641) 455-5200 |
| 1508101221 | PELLA 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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