STEPHEN R MOORE (NPI# 1083681076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083681076 |
| Entity Type | Individual |
| Full Name | STEPHEN R MOORE |
| Credential | MD |
| Practice Address |
1040 Summitt Sq Middletown OH 45042-3400 |
| Practice Telephone | 5134250533 |
| Practice Fax Number | 5134250527 |
| Mailing Telephone | 5134250533 |
| Mailing Fax Number | 5134250527 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35054764 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0766827 | 05 |
| 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 |
| 1073815882 | Stephen G Moore | Specialist | 2749 E Covenanter Dr, Bloomington, IN 47401-5454 | 2010-11-30 |
| 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 |
| 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 |
| Street Address |
1040 SUMMITT SQ |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45042-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413919 | Stacey Ward | Nurse Practitioner | 1055 Summit Dr., Middletown, OH 45042 | 2020-07-06 |
| 1962978759 | Stephani Chandra Miller | Counselor | 160 N. Breiel Blvd, Middletown, OH 45042 | 2018-10-18 |
| 1124504378 | Butler County Community Health Consortium, Inc. | Clinic/Center | 601 N Breiel Blvd Ste B, Middletown, OH 45042 | 2018-07-11 |
| 1417474883 | Tiffany Marie Ott | Registered Nurse | 1229 Ellen Dr, Middletown, OH 45042 | 2017-08-27 |
| 1184074650 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 1909 Jackson Lane, Middletown, OH 45042 | 2016-06-15 |
| 1639529100 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4623 Central Avenue, Middletown, OH 45042 | 2016-06-15 |
| 1811347388 | Camelot Raalty, LLC | Intermediate Care Facility, Mentally Retarded | 4923 Hendrickson Rd, Middletown, OH 45042 | 2016-06-15 |
| 1790135234 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4895 Hendrickson Rd., Middletown, OH 45042 | 2016-06-15 |
| 1720438294 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4907 Hendrickson Rd., Middletown, OH 45042 | 2016-06-15 |
| 1174948129 | Sherry L. Flannery | Nurse Practitioner | 4961 Middletown Oxford Road, Middletown, OH 45042 | 2014-02-27 |
| Find all providers in zip 45042 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972920510 | Atlantis Health Care Group Inc | Internal Medicine | 14 Tindall Rd, Middletown, NJ 07748-2722 | 2014-03-20 |
| 1811229750 | Orange County Pulmonary, PC | Internal Medicine | 60 Prospect Ave, Middletown, NY 10940-4133 | 2010-02-03 |
| 1073647673 | Timber Ridge Medical Assoc, P.C. | Internal Medicine | 90 Crystal Run Rd, 403, Middletown, NY 10941-7101 | 2007-03-15 |
| 1700982808 | Richard Frank Walker | Internal Medicine | 90 Crystal Run Rd, Suite 403, Middletown, NY 10941-7101 | 2006-09-15 |
| 1326021817 | Prabhash Ganguli | Internal Medicine | 80 S Main St, Middletown, CT 06457-3648 | 2005-11-29 |
| 1942201793 | Maryann Park | Internal Medicine | 111 Maltese Dr, Middletown, NY 10940-2115 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672171 | National Lung and Sleep Medicine LLC | Internal Medicine | 1695 Big Bear Dr, Centerville, OH 45458-3692 | 2020-03-02 |
| 1588225932 | Summa Physicians Inc | Internal Medicine | 1700 Boettler Rd Ste 250, Uniontown, OH 44685-6211 | 2019-06-26 |
| 1144726605 | Venkataramanaiah Pulivarthi | Internal Medicine | 7976 Ravine Run Ln, Columbus, OH 43235-6454 | 2018-04-03 |
| 1407378409 | Francisco A. Mateo, M.d. Inc. | Internal Medicine | 2094 E State St Ste G, Salem, OH 44460-4409 | 2017-07-11 |
| 1134520992 | Eduardo Caspe Casalmir | Internal Medicine | 1551 Shore Woods Dr, Dayton, OH 45459-1474 | 2014-09-11 |
| 1215359807 | William Schlechter | Internal Medicine | 7056 Royalgreen Dr, Cincinnati, OH 45244-3621 | 2014-01-15 |
| 1174814271 | Morisetty Medical Associates, Inc. | Internal Medicine | 1 Ross Park Blvd Ste G-3, Steubenville, OH 43952-2681 | 2011-04-22 |
| 1053636944 | Tejinder Singh Bal | Internal Medicine | 3642 Tippecanoe Pl, Canfield, OH 44406-9531 | 2010-04-02 |
| 1902131071 | Michael William Craig | Internal Medicine | 4482 Blairgowrie Cir, Dayton, OH 45429-1853 | 2009-10-07 |
| 1518195478 | Integrated Health Services Management | Internal Medicine | 6820 Ridge Rd Ste 204, Parma, OH 44129-5647 | 2009-06-30 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 45042 |
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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.