CARLY R MOORE (NPI# 1023597598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023597598 |
| Entity Type | Individual |
| Full Name | CARLY R MOORE |
| Credential | PA-C |
| Practice Address |
12547 Ocean Gtwy Ocean City MD 21842-9689 |
| Practice Telephone | 4102130119 |
| Practice Fax Number | 4102132875 |
| Mailing Telephone | 4102130119 |
| Mailing Fax Number | 4102132875 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | C0006857 | MD | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
C0006857 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICAL LICENSE | C0006857 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427606326 | Carly Catherine Moore | Behavior Technician | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2019-09-04 |
| 1679034037 | Carly Moore | Behavior Technician | 3766 Us Highway 17 Ste 301, Richmond Hill, GA 31324 | 2019-03-28 |
| 1043687122 | Carly Moore | Social Worker | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2015-08-25 |
| Street Address |
12547 OCEAN GTWY |
| City | OCEAN CITY |
| State | MD |
| Zip Code | 21842-9689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871987818 | Alison Lathroum | Physician Assistant | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2015-03-27 |
| 1093278038 | Rachael C Boswell | Physician Assistant | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2019-04-08 |
| 1699231894 | Nicole M Jones | Emergency Medicine | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2019-02-13 |
| 1770054363 | Katlyn N Laird | Emergency Medicine | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2018-12-08 |
| 1649781030 | Valerie Golembeski | Emergency Medicine | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2017-10-12 |
| 1225414436 | Alexandra Murray | Physician Assistant | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2015-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699312934 | Ultimate Hearing Solutions V, LLC | Durable Medical Equipment & Medical Supplies | 11724 Ocean Gateway, Unit 4, Ocean City, MD 21842 | 2019-12-05 |
| 1023552817 | Beverly N Wilson | Physician Assistant | 12038 Ocean Gateway, Unit 1, Ocean City, MD 21842 | 2016-12-13 |
| 1457755647 | Susan Weiss | Pharmacist | 1611n Philadelphia Ave, Ocean City, MD 21842 | 2014-10-16 |
| 1083855852 | Jean Michele Brauning | Dentist | 9936 Stephen Decatur Hwy., Suite #505, Ocean City, MD 21842 | 2009-03-09 |
| 1912147984 | John Terrence Dornbusch | Nurse Practitioner | 7408 Coastal Hwy., Ocean City, MD 21842 | 2009-03-03 |
| 1245481472 | William Robert Allen | Dentist | 13901 Coastal Highway, Ocean City, MD 21842 | 2008-10-07 |
| 1720278765 | Cheryl Canfield | Counselor | Wacs Center, 11827 Ocean Gateway, Ocean City, MD 21842 | 2007-07-26 |
| 1295933463 | John W Rees Jr P.C. | Chiropractor | 300 Seabay Lane, Ocean City, MD 21842 | 2007-07-10 |
| 1629288006 | Jean Baron | Registered Nurse | Ocean City Youth Health Center, 4 Caroline Street, Ocean City, MD 21842 | 2007-05-23 |
| 1942332333 | Laura M. Stokes | Pediatrics | 12308 Ocean Gateway, Unit # 3, Ocean City, MD 21842 | 2007-03-12 |
| Find all providers in zip 21842 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386010965 | Chesapeake Medical Solutions, Pa | Emergency Medicine | 12385 Ocean Gtwy, Ocean City, MD 21842-9576 | 2015-08-18 |
| 1235291659 | Rashid Gill | Emergency Medicine | 75th St Medical 7408 Coastal Hwy, Ocean City, MD 21842 | 2006-12-14 |
| 1851379291 | Joseph J Inzerillo | Emergency Medicine | 102 120th St, Ocean City, MD 21842-4796 | 2006-01-05 |
| 1467439752 | Drs Morres Gianelle Goertzen & Assoc Pa | Emergency Medicine | 103 120th Street, Ocean City, MD 21842 | 2005-12-28 |
| 1699231894 | Nicole M Jones | Emergency Medicine | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2019-02-13 |
| 1770054363 | Katlyn N Laird | Emergency Medicine | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2018-12-08 |
| 1649781030 | Valerie Golembeski | Emergency Medicine | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2017-10-12 |
| 1245740109 | 75th Street Injury & Illness Center LLC | Emergency Medicine | 7408 Coastal Hwy, Ocean City, MD 21842-2936 | 2017-10-05 |
| 1124072491 | Caleb Wesley Page Jr. | Emergency Medicine | 1001 Philadelphia Ave, Ocean City, MD 21842 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732330 | Harcart Health Holdings LLC | Emergency Medicine | 44980 Saint Andrews Church Rd, California, MD 20619-2363 | 2019-07-23 |
| 1427510825 | Tenthouse Health, LLC | Emergency Medicine | 4794 Bayfields Rd, Harwood, MD 20776-9575 | 2019-04-03 |
| 1962972232 | Harcart Health Holdings LLC | Emergency Medicine | 4507 Stanford St, Bethesda, MD 20815-5205 | 2018-11-29 |
| 1801381793 | Harcart Health Holdings LLC | Emergency Medicine | 350 Fortune Ter Ste D, Potomac, MD 20854-2910 | 2018-06-25 |
| 1184156960 | Patrick Joseph Finan | Emergency Medicine | 7503 Surrats Rd, Dept of Emergency Medicine, Clinton, MD 20735-3358 | 2017-03-30 |
| 1922459734 | Medexpress Urgent Care, PC - Maryland | Emergency Medicine | 3270 Donnell Dr, Forestville, MD 20747-3205 | 2016-06-23 |
| 1891142337 | Medexpress Urgent Care, PC - Maryland | Emergency Medicine | 99 Baughmans Lane, Frederick, MD 21702-4904 | 2016-05-14 |
| 1023471893 | Portia Irene Chipendo | Emergency Medicine | 1830 E Monument St Ste 6, Baltimore, MD 21287-0020 | 2016-03-30 |
| 1851752513 | Chesapeake Medical Solutions, Pa | Emergency Medicine | 300 Sunburst Hwy, Cambridge, MD 21613-2506 | 2016-03-09 |
| 1740648492 | Medexpress Urgent Care, PC - Maryland | Emergency Medicine | 45325 Abell House Ln, California, MD 20619-3211 | 2016-02-09 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN CITY |
| Zip Code | 21842 |
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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.