DR. MARTHA JANE MOORE (NPI# 1053418921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053418921 |
Entity Type | Individual |
Full Name | DR. MARTHA JANE MOORE |
Other Name | DR. M JANE MOORE |
Credential | M.D. |
Practice Address |
232 Wood Street Wrangell AK 99929 |
Mailing Address |
Po Box 1231 Wrangell AK 99929-1231 |
Practice Telephone | 9078744700 |
Practice Fax Number | 9078744719 |
Mailing Telephone | 9078744700 |
Mailing Fax Number | 9078744719 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2015-11-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 3944 | AK | Allopathic & Osteopathic Physicians |
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
6678 | AK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | MD8920 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144739533 | Martha Michelle Moore | Registered Nurse | Piedmont Henry Hospital, 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 | 2017-09-28 |
1710131065 | Martha F Moore | Massage Therapist | 5201 Sw 31st Ave Apt 105, Fort Lauderdale, FL 33312-6922 | 2008-11-13 |
1497932404 | Martha Susan Moore | Registered Nurse | 314 E Owen K Garriott Rd, Enid, OK 73701 | 2008-01-22 |
1134785074 | Martha Denise Moore | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2019-05-16 |
1336343144 | Martha Carole Moore | Psychologist | 49430 Road 426, Suite C, Oakhurst, CA 93644-8618 | 2007-06-14 |
1689703092 | Martha Moore | Counselor | 509 Biltmore Ave, Suite G276.10, Asheville, NC 28801-4601 | 2007-03-02 |
1194871616 | Martha Lynn Moore | Internal Medicine | 6428 Beach Blvd, Jacksonville, FL 32216-2813 | 2007-01-26 |
1336127513 | Martha Jeanne Moore | Family Medicine | 500 W Main St, Livingston, TN 38570-1718 | 2006-01-06 |
1225016678 | Martha W. Moore | Social Worker | 55 Lake Ave N, Department of Psychiatry, Worcester, MA 01655-0002 | 2006-01-05 |
1265426365 | Martha Kay Moore | Nurse Anesthetist, Certified Registered | 710 Center St, Columbus, GA 31901-1527 | 2005-09-02 |
Street Address |
232 WOOD STREET |
City | WRANGELL |
State | AK |
Zip Code | 99929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922544329 | Southeast Alaska Regional Health Consortium | Clinic/Center | 232 Wood Street, Wrangell, AK 99929 | 2017-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073009379 | Eli Michael | Social Worker | 110 Lynch St, Wrangell, AK 99929 | 2018-07-10 |
1538688619 | Dash Enterprises | Assisted Living Facility | 1104 Peninsula Street, Wrangell, AK 99929 | 2017-09-11 |
1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
1679909253 | Kjerstena Elizabeth Yocum | Dental Hygienist | 215 Front Street, Wrangell, AK 99929 | 2013-09-16 |
1699109975 | Kristen Leigh Debord | Speech-Language Pathologist | 310 Bennett St., Wrangell, AK 99929 | 2013-08-22 |
1144558685 | Cheryl E Haynes | Pharmacist | 322 Bennett St, Island, Only Addresses Ponumbers-pob 1421, Wrangell, AK 99929 | 2009-11-20 |
1992975122 | Pacific Northwest Radiology LLC | Radiology | 310 Bennett St, Wrangell, AK 99929 | 2008-03-04 |
1689729980 | Alaska Island Community Services | Clinic/Center | 102 Harpoon Way, Coffman Cove, AK 99929 | 2007-01-24 |
1659433738 | Drs Moorhead& Ross Dds | Dentist | 215 Front St, Wrangell, AK 99929 | 2006-12-14 |
1588764534 | Stikine Drug LLC | Pharmacy | 202 Front St, Wrangell, AK 99929 | 2006-09-22 |
Find all providers in zip 99929 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598276628 | Ideal Option, Pllc | Family Medicine | 5431 E Mayflower Ln Ste 4, Wasilla, AK 99654-7891 | 2017-10-16 |
1174142673 | Workit Health Mi Pllc | Family Medicine | 101 E 9th Ave Ste 12b, Anchorage, AK 99501-3651 | 2020-04-14 |
1144745738 | Ideal Option, Pllc | Family Medicine | 2401 E 42nd Ave Ste 306, Anchorage, AK 99508-5228 | 2017-08-04 |
1972026177 | Ideal Option, Pllc | Family Medicine | 1221 Noble St, Fairbanks, AK 99701-4961 | 2017-07-19 |
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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.