DR. KEVIN DALE MOORE (NPI# 1023096054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023096054 |
| Entity Type | Individual |
| Full Name | DR. KEVIN DALE MOORE |
| Credential | M.D. |
| Practice Address |
450 Garrisonville Rd 109 Stafford VA 22554 |
| Mailing Address |
34 Monument Dr Stafford VA 22554-8508 |
| Practice Telephone | 7035222727 |
| Practice Fax Number | 5402883327 |
| Mailing Telephone | 5714090161 |
| Mailing Fax Number | 5402883327 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2018-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
28200 | KY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2014-01019 | NC | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101255019 | VA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
28200 | KY | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
28200 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154781060 | Kevin Lee Moore | Internal Medicine | 612 Nw 42nd St, Oklahoma City, OK 73118-7004 | 2016-03-04 |
| 1932516788 | Kevin Duane Moore | Licensed Practical Nurse | 121 Swezey Ln, Middle Island, NY 11953-1547 | 2014-07-14 |
| 1982947164 | Kevin Moore | Counselor | 107 Hill St, Apt. 9, Stoneham, MA 02180-3720 | 2013-04-05 |
| 1891917324 | Kevin P. Moore | Marriage & Family Therapist | 7200 W 13th St N Ste 9, Wichita, KS 67212-2968 | 2007-05-03 |
| 1255484036 | Kevin Brian Moore | Chiropractor | 1004 Butler Ave, New Castle, PA 16101-4282 | 2007-01-18 |
| 1275690323 | Kevin Lee Moore | Dentist | 160 S 2nd Ave, Suite B, Clarion, PA 16214-2444 | 2007-01-01 |
| 1225199706 | Kevin Brent Moore | Dentist | 95 Stonecoal Road, Garrett, KY 41630 | 2006-12-12 |
| 1447319645 | Kevin Moore | Counselor | 314 Maxwell Rd Ste 400, Alpharetta, GA 30004-2045 | 2006-12-06 |
| 1619040037 | Kevin R Moore | Case Manager/Care Coordinator | 10528 Nw 57th Ct, Coral Springs, FL 33076-2810 | 2006-11-15 |
| 1023069176 | Kevin Joel Moore | Chiropractor | 3420 Elmore Ave, Davenport, IA 52807-2594 | 2006-05-13 |
| Street Address |
450 GARRISONVILLE RD 109 |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967207 | Thomas J Raley | Orthopaedic Surgery | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554 | 2005-07-26 |
| 1073057741 | Sebastian M Bouroncle Dds-2 Stafford Pllc | Dentist | 450 Garrisonville Rd, Suite# 201, Stafford, VA 22554-1532 | 2016-12-14 |
| 1407101090 | Taylor A Mckinney | Physical Therapist | 450 Garrisonville Rd, Stafford, VA 22554-1532 | 2012-07-19 |
| 1831467166 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554 | 2011-12-01 |
| 1215266267 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554 | 2009-12-21 |
| 1831423839 | Galadriel Lea Pastor | Physician Assistant | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554 | 2009-09-23 |
| 1265687305 | James Huang | Physical Medicine & Rehabilitation | 450 Garrisonville Rd, 109, Stafford, VA 22554 | 2008-11-17 |
| 1336305002 | Vipul Mangal | Anesthesiology | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554-1532 | 2008-08-01 |
| 1073559969 | Carolina Maria Hernandez | Internal Medicine | 450 Garrisonville Rd, Suite 215, Stafford, VA 22554-1532 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336371582 | Rosalynn Nelson | Psychiatry & Neurology | 12603 Southwest Fwy Ste 335, Stafford, TX 77477 | 2009-08-20 |
| 1770688277 | Christopher Robert Van Eyck | Psychiatry & Neurology | 239 Garrisonville Rd Ste 201, Stafford, VA 22554-1554 | 2006-09-13 |
| 1205027562 | William Henry Reading | Psychiatry & Neurology | 12603 Southwest Fwy, Suite 510, Stafford, TX 77477-3820 | 2007-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727522 | Assessment & Counseling of Williamsburg Plc | Psychiatry & Neurology | 113 Rudder Ct, Williamsburg, VA 23185-5288 | 2020-10-16 |
| 1407460413 | Demetrous Johnston | Psychiatry & Neurology | 2 Eaton St # 909, Hampton, VA 23669-4054 | 2020-09-07 |
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1538770623 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 4215 Lorcom Ln, Arlington, VA 22207-3305 | 2020-08-12 |
| 1588274435 | Holisticare Behavioral Health Svs LLC | Psychiatry & Neurology | 8101 Hinson Farm Rd Ste 214, Alexandria, VA 22306-3406 | 2020-08-05 |
| 1881202729 | Bagla LLC | Psychiatry & Neurology | 2103 Electric Rd Ste A, Roanoke, VA 24018-2303 | 2020-07-16 |
| 1548886393 | Sandhya Rajasekhara | Psychiatry & Neurology | 3057 George Washington Memorial Hwy, Hayes, VA 23072-3300 | 2020-06-17 |
| 1083237747 | Fresh Focus Psychiatric Services Pllc | Psychiatry & Neurology | 825 Davis St Ste D, Blacksburg, VA 24060-7009 | 2020-05-28 |
| 1629698766 | Forefront Telecare Medical Services PC | Psychiatry & Neurology | 728 Hillmont Cir Apt 201, Harrisonburg, VA 22801-2457 | 2020-04-18 |
| 1528693769 | Free Range Psychiatry Inc | Psychiatry & Neurology | 296 Forest Hills Dr, Luray, VA 22835-9106 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
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| 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.