MARK MOORE II (NPI# 1013385731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013385731 |
| Entity Type | Individual |
| Full Name | MARK MOORE II |
| Practice Address |
1300 Miccosukee Rd Tmh, Bixler Emergency Center Tallahassee FL 32308-5054 |
| Practice Telephone | 8504310911 |
| Mailing Telephone | 8504310911 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAT9108991 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031019 | Mark Daniel Moore | Psychologist | 100 Miner St, Crescent City, IL 60928-8092 | 2017-08-30 |
| 1114462017 | Mark Christopher Moore | Anesthesiologist Assistant | 8000 E Maplewood Ave Bldg 5, Ste. 200, Greenwood Village, CO 80111-4766 | 2016-12-30 |
| 1699981183 | Mark Wayne Moore | Dentist | 2301 12th St, Meridian, MS 39301-3934 | 2007-05-14 |
| 1588747588 | Mark W Moore | Physical Therapist | 6036 N 19th Ave Ste 303, Phoenix, AZ 85015 | 2006-10-23 |
| 1346338530 | Mark Douglas Moore | Optometrist | 2020 N Tyler Rd Ste 124, Wichita, KS 67212-4916 | 2006-10-11 |
| 1730289935 | Mark Edward Moore | Optometrist | 3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 | 2006-09-25 |
| 1043328800 | Mark D Moore | Optometrist | 504 Peterson Ave S, Douglas, GA 31533-5254 | 2006-08-29 |
| 1104934462 | Mark Stephen Moore | Dentist | 5501 Matlock Rd, Arlington, TX 76018-1534 | 2006-08-28 |
| 1225022833 | Mark Phillip Moore | Dentist | 2048 Windward Ln, Gainesville, GA 30501-7418 | 2005-09-09 |
| 1710527130 | Mark Moore | Community Health Worker | 1114 Lane 12, Lovell, WY 82431-9555 | 2020-01-14 |
| Street Address |
1300 MICCOSUKEE RD TMH, BIXLER EMERGENCY CENTER |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841261336 | Gregory Sydnor Laffitte | Physician Assistant | 1300 Miccosukee Rd, Hospitalists Group, Tallahassee, FL 32308-5054 | 2006-02-01 |
| 1275132987 | Anthony George Delegato | Nurse Practitioner | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-10-23 |
| 1790394039 | Muhammad Yasir Baloch | Student in an Organized Health Care Education/Training Program | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-07-22 |
| 1174131585 | Jiun-jye Jack Lai | Internal Medicine | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-07-21 |
| 1629695697 | Anna Ciara Lindsay Mason | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-25 |
| 1578189528 | Rawan Majdalawi | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-24 |
| 1124644349 | Cherie Danielle Eddinger | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-23 |
| 1235754185 | Ricardo Manuel Morales | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-16 |
| 1043834088 | Nicholas Heyse | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-05 |
| 1558983205 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275972465 | Planned Parenthood of North Florida, Inc. | Physician Assistant | 2121 W Pensacola St, Suite B-2, Tallahassee, FL 32304-3149 | 2013-06-20 |
| 1235446899 | Melanie Dawn Loyd | Physician Assistant | 1898 Buford Blvd, Suite A, Tallahassee, FL 32308-4442 | 2010-09-02 |
| 1801824917 | William Jordan Phelan | Physician Assistant | Va Clinic, 1607 St James Court, Tallahassee, FL 32308 | 2006-06-29 |
| 1336193531 | Laura Vaughan | Physician Assistant | 5539 Hampton Woods Way, Tallahassee, FL 32311-8106 | 2006-05-20 |
| 1427038587 | Deren H Hooks | Physician Assistant | 1707 Riggins Rd, Tallahassee, FL 32308-5317 | 2006-01-17 |
| 1518579663 | Pierre Richard Brenord | Physician Assistant | 3463 Falmouth Ct, Tallahassee, FL 32317-9016 | 2020-08-20 |
| 1184254666 | Tamer Tadros | Physician Assistant | 2633 Centennial Blvd, Tallahassee, FL 32308-0605 | 2020-01-23 |
| 1306489448 | Angela Pinto | Physician Assistant | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2019-10-22 |
| 1225592728 | Sean Dempsey Hughes | Physician Assistant | 1707 Riggins Rd, Tallahassee, FL 32308-5317 | 2019-01-29 |
| 1619451648 | Laura Clark | Physician Assistant | 2626 Care Dr Ste 101, Tallahassee, FL 32308-4489 | 2018-09-15 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on MARK MOORE II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.