Mark Tyler Moore, AU
Qualified Audiologist · Santa Clara
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · Permanente Medical Group Inc · 10,928 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Mark Tyler Moore’s office at (408) 851-1000 to ask if they take your plan before you enroll.
California Medical Board record
Licence G3334 · Cancelled
Licence status: Cancelled · since 1955 · Harvard Medical School.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Medicaid work
$0 in 2019
Medicaid paid $0 for 24 billed services this clinician did in 2019, up to 12 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| TYMPANOMETRY | 24 | $0 |
| 2019 | 24 | 1 | 12 | $0 |
Professional record
- NPI
- 1487002689
- Licence
- CA 3334, UT 9806481-4101California G3334: Cancelled
- Trained
- University of North Carolina at Chapel Hill School of Medicine, 2016
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 231H00000X (231H00000X)
- Mailing address
- 700 Lawrence Expy, Santa Clara, CA, 95051
- NPI first listed
- 2016-05-27
- NPI last updated
- 2022-02-11
This is when the NPI record was last certified, not a medical board exam.
This office lists an electronic records connection.