Johanna L Moore
Medical Specialty
Professional ID
- NPI: 1851427595
- PECOS ID: 8022287457
- Enrollment ID: I20110801000745
- Credential(MD, DO, DPM):
- Medical School: Ohio State University College Of Medicine
- Medical School Graduation Year: 2006
Hospital Service
- Hospital CCN1: 050107
- Business Name (LBN)1: Marian Regional Medical Center
- Hospital CCN2: 050232
- Business Name (LBN)2: French Hospital Medical Center
Medical Practices
- Organization Name: Western Pathology Inc
- Group Practice ID assigned by PECOS: 4183860703
- Number of Group Practice member: 4
Location
Medical Practices
- Organization Name: Diagnostic Pathology Services Of The Central Coast
- Group Practice ID assigned by PECOS: 4284871658
- Number of Group Practice member: 9
Location
- Address1: 1400 E Church St
- Address2: Department Of Pathology
- City: Santa Maria
- State: California
- Zip Code: 93454
- Phone Number: (805)739-3000
Location
- Address1: 1414 E Main St
- Address2: Suite 202
- City: Santa Maria
- State: California
- Zip Code: 93454
- Phone Number: (800)472-9116
Medical Practices
- Organization Name: Santa Maria Gastroenterology Medical Group Inc.
- Group Practice ID assigned by PECOS: 6709070964
- Number of Group Practice member: 11
Location
- Address1: 361 Town Ctr W
- Address2: Suite 101
- City: Santa Maria
- State: California
- Zip Code: 93458
- Phone Number: (805)287-9107
Medical Practices
- Organization Name: Affiliated Pathologists Of The Central Coast
- Group Practice ID assigned by PECOS: 9436395266
- Number of Group Practice member: 11
Location
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):