DR. STEPHEN G MOORE


Address: 2749 E Covenanter Dr, Bloomington, IN 47401-5454
Phone: 8123322265

DR. STEPHEN G MOORE (NPI# 1073815882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073815882
Entity Type Individual
Full Name DR. STEPHEN G MOORE
Credential M.D.
Practice Address 2749 E Covenanter Dr
Bloomington
IN 47401-5454
Practice Telephone 8123322265
Practice Fax Number 8123340853
Mailing Telephone 8123322265
Mailing Fax Number 8123340853
Enumeration Date 2010-11-30
Last Update Date 2010-11-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 01044533A IN Other Service Providers

Other Providers STEPHEN MOORE

NPI Name Taxonomy Address Enumeration
1578924684 Stephen Moore Registered Nurse 3545 Se Long St, Portland, OR 97202-3342 2016-03-16
1417371618 Stephen Albert Moore Case Manager/Care Coordinator 214 Vagabond Ct, Alamo, CA 94507-2804 2014-02-07
1124367750 Stephen Henry Moore Internal Medicine 2300 Vernon Cir, Hopkins, MN 55305-3053 2013-02-01
1669580122 Stephen Howard Moore Dentist 939 Portage Trl, Cuyahoga Falls, OH 44221-3045 2006-08-26
1649384793 Stephen Alan Moore Ophthalmology 140 West Ave, Gt Barrington, MA 01230 2006-08-18
1053335216 Stephen William Moore Dentist 3 Long Leaf Office Park, Moultrie, GA 31768-6781 2006-07-27
1407875727 Stephen David Moore Dentist 8409 W Lake Mead Blvd, Las Vegas, NV 89128-7638 2006-07-18
1083681076 Stephen R Moore Internal Medicine 1040 Summitt Sq, Middletown, OH 45042-3400 2006-03-08
1376519439 Stephen Phillip Moore Dentist 356 N Rock Rd, Wichita, KS 67206-2200 2006-02-27
1184614513 Stephen Daniel Moore Pharmacist 11919 W Sprague Ave, Airway Heights, WA 99001-1899 2005-10-26

Office Location

Street Address 2749 E COVENANTER DR
City BLOOMINGTON
State IN
Zip Code 47401-5454

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740765791 Holly G Carter Physical Therapist 3607 Heirloom Dr, Bloomington, IN 47401 2018-09-26
1285116657 Kimberly D Bergan Occupational Therapist 3607 S Heirloom Dr, Bloomington, IN 47401 2018-09-03
1255836813 Erin Kathleen Sain Nurse Practitioner 326 W Woodcrest Drive, Bloomington, IN 47401 2018-03-27
1881104289 Ev Bloomington Limited Partnership Assisted Living Facility 3607 South Heirloom Drive, Bloomington, IN 47401 2017-10-11
1619496536 Kirsten N Neely Physical Therapist 2604 E. Creek's Edge Dr., Bloomington, IN 47401 2017-09-12
1023533908 Hoosier United Therapy Service LLC Physical Therapist 2801 E Plateau Place, Bloomington, IN 47401 2017-08-11
1194127381 Ann Marie Neeley Lactation Consultant, Non-RN 2458 South Walnut Street, Bloomington, IN 47401 2014-09-19
1518397801 Indiana Spine and Sports Inc. Chiropractor 418 S Walnut St Suite C, Bloomington, IN 47401 2013-11-22
1053654574 William Robblee Anderson Obstetrics & Gynecology 2625 E. Spicewood Ct., Bloomington, IN 47401 2013-04-03
1285979377 Jenna Marie Dale Optometrist 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 2012-11-30
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578931796 Gailey Westlund Specialist 2120 W Old Shakopee Rd # 3, Bloomington, MN 55431-3000 2015-09-03
1063719169 Robert A Spicer Specialist 5225 W Vernal Pike, Bloomington, IN 47404-9661 2011-02-25
1508172099 Annabelle L Ogerio Specialist 1211 Broad Creek Rd, Bloomington, IL 61704-8536 2010-08-23
1366684086 Sterling Jerel Shores Specialist 2301 Ge Rd Apt 12, Bloomington, IL 61704-3425 2009-03-26
1205083417 Anne J Ford Msw Licsw LLC Specialist 9810 Edgewood Rd, Bloomington, MN 55438-1755 2008-08-20
1700066008 Kab Medical Associates, Inc Specialist 2998 S Sare Rd, Bloomington, IN 47401-4330 2007-11-05
1164557799 Biofeedback Training and Treatment Center, Inc. Specialist 5001 American Blvd W Ste 980, Biofeedback Training & Treatment Center, Inc., Bloomington, MN 55437-1164 2007-02-22
1093877151 Alan B Somers Specialist 3800 Commodore Trl, Bloomington, IN 47408-9423 2006-12-15
1174692115 Taehwan Kim Specialist 5342 Paola Cir, Bloomington, MN 55437-1052 2006-11-06
1114005402 John R Labban Specialist 650 S Walker St, Bloomington, IN 47403-2158 2006-11-02
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Competitor

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City BLOOMINGTON
Zip Code 47401

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Dataset Information

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.

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