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Matthew R Moog

  • Male

Medical Specialty

Professional ID

  • NPI: 1992794945
  • PECOS ID: 4587605506
  • Enrollment ID: I20170926003415
  • Credential(MD, DO, DPM): MD
  • Medical School: Albany Medical College Of Union University
  • Medical School Graduation Year: 1992

Hospital Service

  • Hospital CCN1: 270057
  • Business Name (LBN)1: Bozeman Deaconess Hospital
  • Hospital CCN2: 530006
  • Business Name (LBN)2: Sheridan Memorial Hospital

Medical Practices

  • Organization Name: Gallatin Valley Anesthesia Associates Pc
  • Group Practice ID assigned by PECOS: 1456372523
  • Number of Group Practice member: 26

Location

  • Address1: 925 Highland Blvd
  • Address2: Suite 1180
  • City: Bozeman
  • State: Montana
  • Zip Code: 59715
  • Phone Number: (406)587-8631

Medical Practices

  • Organization Name: Big Horn Anesthesia Associates Llc
  • Group Practice ID assigned by PECOS: 3577840784
  • Number of Group Practice member: 5

Location

  • Address1: 1401 W 5th St
  • Address2:
  • City: Sheridan
  • State: Wyoming
  • Zip Code: 82801
  • Phone Number: (307)672-1000

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):