MEDICARE: HEIDI MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	18-01436	KS

General Provider Information

NPI Number	:	1003623562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI MOORE

Provider Business Mailing Address
First Line	:	316 N WOLF ST
Second Line	:
City	:	CHENEY
State	:	KS
Zip	:	67025-8990
Country	:	US
Telephone Number	:	620-727-5237
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 N 5TH AVE
Second Line	:
City	:	ANTHONY
State	:	KS
Zip	:	67003-2106
Country	:	US
Telephone Number	:	620-491-0525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2024
Last Update Date	:	12/17/2024

Similar Medicare Providers

1396792925 — ANTHONY COMMUNITY CARE CENTER, INC.
Practice Location Address:

212 N 5TH AVE
ANTHONY, KS
67003-2106

Practice Phone: 620-842-5187
Practice Fax:

1063558674 — LYNN MARIE SIMONS PT
Practice Location Address:

212 N 5TH AVE
ANTHONY, KS
67003-2106

Practice Phone: 620-842-5187
Practice Fax:

1962523290 — MS. MARY R LAWRENCE RN CDE
Practice Location Address:

10010 KENNERLY RD , ST. ANTHONY MEDICAL CENTER, DIABETES EDUCATION
SAINT LOUIS, MO
63128-2106

Practice Phone: 314-525-4506
Practice Fax: 314-525-4260

1467633834 — SERIO MISSOURI LLC
Practice Location Address:

10010 KENNERLY RD , ST. ANTHONY'S MEDICAL CENTER
SAINT LOUIS, MO
63128-2106

Practice Phone: 314-525-1900
Practice Fax:

1336146034 — COUNTY OF HARPER
Practice Location Address:

123 N JENNINGS AVE
ANTHONY, KS
67003-2708

Practice Phone: 620-842-5132
Practice Fax:

1811980402 — DR. PETIE ANN SCHWERDTFEGER M.D.
Practice Location Address:

485 N KS HWY 2
ANTHONY, KS
67003-2526

Practice Phone: 620-914-1200
Practice Fax: 620-914-1257

Directions to “ HEIDI MOORE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.