Paul Robert Moore is a Farmington, New Mexico based nurse anesthetist with 15 years of experience as Anesthesia Administration. He completed he graduation in 2010. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Paul Robert Moore is R1778687 for Anesthesia Administration in Minnesota. his current practice location is 801 W Maple St, Farmington. Patients can reach him at 505-609-2000. Paul Robert Moore is RN, CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1558686253.
Paul Robert Moore is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Paul Robert Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: | Anesthesia Administration |
Credentials: | RN, CRNA |
Experience: | 15+ years |
Medical School Attended: | Other |
Graduation Year: | 2010 |
Gender: | Male |
Accepts Medicare Assignment: | Yes |
Practice Address: | 801 W Maple St, Farmington, New Mexico, 87401-5630 |
Phone: | 505-609-2000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID: | 3678604907 |
Enrollment ID: | I20100802000628 |
NPI Number: | 1558686253 |
NPI Enumeration Date: | 06 Apr, 2010 |
NPI Last Update On: | 11 Aug, 2010 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul Robert Moore are as mentioned below.
License Number | Specialization | State | Status | |
R1778687 | Anesthesia Administration | Minnesota | Primary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Paul Robert Moore has association with along with the number of members in that group.
Organization Name (Group PAC ID) | Members |
Four Corners Anesthesia, P.a. (6608762950) | 8 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Paul Robert Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier | Type | State | Issuer |
ENROLLED | Medicaid | Minnesota | |
1558686253 | Medicaid | New Mexico | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: | 1515 E 20th St Ste A, Farmington, New Mexico |
Zip: | 87401-9039 |
Phone Number: | 505-326-6400 |
Fax Number: | 505-326-4606 |
Patients can reach Paul Robert Moore at
801 W Maple St, Farmington, New Mexico or can
call to book an appointment on 505-609-2000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.