Randall D. Moore is a Springfield, Illinois based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Randall D. Moore is 041318849 for Anesthesia Administration in Illinois. his current practice location is 800 East Carpenter Street, Room 2k64, Springfield. Patients can reach him at 217-525-5643 or can fax him at 217-544-2521. Randall D. Moore is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1679562532. Randall D. 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:
Randall D. 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:
CRNA
Gender:
Male
Practice Address:
800 East Carpenter Street, Room 2k64, Springfield, Illinois, 62769-0001
Phone:
217-525-5643
Fax:
217-544-2521
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.
NPI Number:
1679562532
NPI Enumeration Date:
13 Oct, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall D. Moore are as mentioned below.
License Number
Specialization
State
Status
041318849
Anesthesia Administration
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Randall D. Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
041318849
Other
Illinois
IL LICENSE #
72807
Other
Illinois
AANA#
209-005619
Other
Illinois
IL APN LICENSE #
371115308
Other
Illinois
GROUP - TRICARE
0841504038
Other
Illinois
BCBS OF ILLINOIS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
800 East Carpenter Street, Room 2k64 Springfield, Illinois
Zip:
62769-0001
Phone Number:
217-525-5643
Fax Number:
217-544-2521
Patients can reach Randall D. Moore at 800 East Carpenter Street, Room 2k64, Springfield, Illinois or can call to book an appointment on 217-525-5643.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.