COURTNEY MOOSE M.D. – NPI #1417992652
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
COURTNEY MOOSE is a physician located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1417992652 to COURTNEY MOOSE on June 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 4 years ago on Apr 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COURTNEY MOOSE below.
NPI Profile for
COURTNEY MOOSE
(about 20 years ago)
SIOUX FALLS, SD 57108-8596 Phone: (605) 322-3300 Fax:
SIOUX FALLS, SD 57105-0900 Phone: (605) 504-5400 Fax: (605) 504-5150
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for COURTNEY MOOSE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | SD | 5611792 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
SD | 5728 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
COURTNEY MOOSE is affiliated with the following medical group(s):
- HOSPITAL
- AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER1325 S CLIFF AVE POST OFFICE BOX 5045
SIOUX FALLS, SD 57117
- AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER1325 S CLIFF AVE POST OFFICE BOX 5045
- HOME HEALTH AGENCY
- AVERA AT HOME2400 SOUTH MINNESOTA AVE STE 101
SIOUX FALLS, SD 57105
- AVERA AT HOME2400 SOUTH MINNESOTA AVE STE 101
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