DR. KYLE R MOORE (NPI# 1093155442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093155442 |
Entity Type | Individual |
Full Name | DR. KYLE R MOORE |
Credential | D.P.M. |
Practice Address |
320 East Main Street Crosby MN 56441 |
Practice Telephone | 2185467000 |
Practice Fax Number | 2185464400 |
Mailing Telephone | 2185467000 |
Mailing Fax Number | 2185464400 |
Enumeration Date | 2013-06-30 |
Last Update Date | 2020-05-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1051 | MN | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3825 | FL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FLORIDA BLUE | BJ7BU | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
901 45th Street, Kimmel Bldg, West Palm Beach, FL 334072413 | (561) 844-5255 | 5618445245 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942778386 | Kyle Moore | Internal Medicine | 7603 Wilbur Rd, New Albany, OH 43054-9783 | 2018-11-03 |
1477987139 | Kyle Patrick Moore | Specialist/Technologist | 40 Coal St, Wilkes Barre, PA 18702-5236 | 2013-08-29 |
1992004147 | Kyle M Moore | Contractor | 3202 E Bellevue St Apt 34, Tucson, AZ 85716-3952 | 2011-03-26 |
1851919344 | Kyle Moore | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-07-10 |
1750924387 | Kyle Douglas Moore | Chiropractor | 923 Emerson Ave, Parkersburg, WV 26104-2526 | 2019-10-27 |
1811476773 | Kyle Jordan Moore | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-08-11 |
1467930123 | Kyle Moore | Behavior Technician | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2018-08-03 |
1962851659 | Kyle Lee Moore Sr. | Social Worker | 805 E Robinson St, Norman, OK 73071-6610 | 2016-06-03 |
1154785616 | Kyle Von Moore | Family Medicine | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-04-11 |
1225476708 | Kyle Miles Moore | Physical Therapist | 17207 N Boswell Blvd, Sun City, AZ 85373-2095 | 2013-06-06 |
Street Address |
320 EAST MAIN STREET |
City | CROSBY |
State | MN |
Zip Code | 56441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215911391 | Paul R Carey | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2005-12-02 |
1629550975 | Samuel T Feyder | Physician Assistant | 320 East Main Street, Crosby, MN 56441 | 2018-09-04 |
1205299385 | Ann E Johnson | Obstetrics & Gynecology | 320 East Main Street, Crosby, MN 56441 | 2016-04-05 |
1407238389 | Brian Holmgren | Internal Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-06-26 |
1285013367 | Paige Elizabeth Holmgren | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-05-22 |
1891182341 | Robert G Johnson | Surgery | 320 East Main Street, Crosby, MN 56441 | 2015-04-22 |
1932514320 | Melissa Sueann Dyrdal | Nurse Practitioner | 320 East Main Street, Crosby, MN 56441 | 2014-06-25 |
1477973063 | James J Stokman | Orthopaedic Surgery | 320 East Main Street, Crosby, MN 56441 | 2014-04-22 |
1740624501 | Laura B Fier | Internal Medicine | 320 East Main Street, Cuyuna Regional Medical Center, Crosby, MN 56441 | 2013-04-24 |
1437412681 | Abby Jo Murray | Internal Medicine | 320 East Main Street, Crosby, MN 56441 | 2012-06-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043381676 | Shannon Marie Smith | Chiropractor | 5 West Main Street, Crosby, MN 56441 | 2006-11-13 |
1841207594 | Bruce B Cunningham | Family Medicine | 320 East Main St, Crosby, MN 56441 | 2006-08-02 |
1457794943 | Lynn Marie Gevik | Registered Nurse | 320 E. Main Street, Crosby, MN 56441 | 2013-04-15 |
1962711523 | Marcella Hanson | Clinical Nurse Specialist | 320 East Main St, Cuyuna Regional Medical Center, Crosby, MN 56441 | 2010-09-30 |
1083700975 | Crow Wing County Ind School District 182 | Local Education Agency (LEA) | 711 Poplar St, Crosby, MN 56441-1135 | 2006-10-05 |
1760525612 | Todd Davis Newman | Chiropractor | 424 Oak St, Crosby, MN 56441-1276 | 2007-02-14 |
1902016710 | Crosby Chiropractic, Inc. | Chiropractor | 424 Oak St, Crosby, MN 56441-1276 | 2007-05-23 |
1669689972 | Christopher Rockwell Davis | Chiropractor | 424 Oak St, Crosby, MN 56441-1276 | 2007-05-17 |
1548289259 | Judith Hilary Weis | Clinical Nurse Specialist | 27 1st St Sw, Crosby, MN 56441-1417 | 2006-07-19 |
1124313259 | Lachelle Renee Brinks | Nurse Practitioner | 5 W Main St, Crosby, MN 56441-1421 | 2011-06-16 |
Find all providers in zip 56441 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
1346603701 | Laura M Buehler | Podiatrist | 2768 Superior Dr Nw, Rochester, MN 55901-3063 | 2016-04-03 |
1114351376 | Katie R Evans | Podiatrist | 616 9th St N, Virginia, MN 55792-2320 | 2013-08-23 |
1750627048 | Cambridge Foot and Ankle Clinic LLC | Podiatrist | 1001 1st Ave E Ste 180, Cambridge, MN 55008-1855 | 2012-12-14 |
1164716387 | Active Feet, Foot & Ankle Health Center | Podiatrist | 4001 Stinson Blvd Ste 120, Minneapolis, MN 55421-3424 | 2011-06-06 |
1063704807 | Midwest Foot and Ankle Specialists, LLC | Podiatrist | 11901 Central Ave Ne, Blaine, MN 55434-3911 | 2011-05-12 |
1215231428 | Robika Hundal | Podiatrist | 6600 Lyndale Ave South, Suite #130, Richfield, MN 55423-3398 | 2011-01-03 |
1083840664 | Matthew Christian Peterson | Podiatrist | 6545 France Ave S Ste 150, Edina, MN 55435-2180 | 2009-06-09 |
1407009483 | Aero Podiatrics, Inc. | Podiatrist | 1668 142nd Ct W, Rosemount, MN 55068-3595 | 2008-11-04 |
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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.