FREDERICK STEPHEN MOORE (NPI# 1104876440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104876440 |
| Entity Type | Individual |
| Full Name | FREDERICK STEPHEN MOORE |
| Credential | MD |
| Practice Address |
2324 Limestone Overlook Gainesville GA 30501-7443 |
| Mailing Address |
Po Box 907790 Gainesville GA 30501-0912 |
| Practice Telephone | 7705368109 |
| Practice Fax Number | 7705363203 |
| Mailing Telephone | 7705368109 |
| Mailing Fax Number | 7705363203 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
022254 | GA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
022254 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000224738A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695857 | Frederick Henry Moore Jr. | Specialist | 14000 Lakeside Cir, Sterling Heights, MI 48313-1320 | 2019-12-04 |
| 1497800403 | Frederick Dm Moore | Orthopaedic Surgery | 501 Hungerford Dr Apt 461, Rockville, MD 20850-5154 | 2007-01-23 |
| 1144380643 | Frederick Ernest Moore | Family Medicine | 189 County Park Rd., Yanceyville, NC 27379 | 2006-12-12 |
| 1174708010 | Frederick Thomas Moore | Dentist | 173 Ashley Ave, Bsb 249, Charleston, SC 29425-8908 | 2008-01-09 |
| 1215157060 | Frederick Moore | Dentist | 643 Main St, Palmetto, GA 30268-1138 | 2007-04-26 |
| 1992743850 | Frederick A Moore | Surgery | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-03 |
| Street Address |
2324 LIMESTONE OVERLOOK |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-7443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689640492 | Tonia A Bales | Nurse Anesthetist, Certified Registered | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2006-02-23 |
| 1326670746 | Brittney Renea Beckmon-forrester | Physician Assistant | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2020-02-05 |
| 1437616729 | Feather Holbrook | Nurse Practitioner | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2019-02-22 |
| 1396227310 | Michelle Webb | Nurse Practitioner | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2018-09-06 |
| 1023561131 | Joanna Harkness | Nurse Practitioner | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2016-07-26 |
| 1174903447 | Erika Porter Holloway | Physician Assistant | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2015-06-02 |
| 1427469873 | Jaime Majors | Nurse Practitioner | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2014-05-19 |
| 1992141337 | Meredith Rebekah Henley | Physician Assistant | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2013-05-13 |
| 1467726232 | Amy Gage Weber | Nurse Practitioner | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2012-02-27 |
| 1821224809 | Andrew N Lake | Internal Medicine | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2009-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1538682737 | Jianyi Calvin Koh | Internal Medicine | 1329 Sw 16th St Fl 5, Gainesville, FL 32608-1128 | 2017-07-19 |
| 1093970121 | Marcus Muehlbauer | Internal Medicine | 1329 Sw 16th St Suite 5251, University of Florida, Gainesville, FL 32608 | 2008-07-29 |
| 1083790265 | Digestive Disease Associates | Internal Medicine | 6400 W Newberry Road, Suite 302, Gainesville, FL 32605 | 2006-10-31 |
| 1063501039 | Payam Chini | Internal Medicine | 6400 W Newberry Rd Ste 302, Gainesville, FL 32605-6604 | 2006-10-11 |
| 1407943194 | Michael F Fry | Internal Medicine | 1955 Textile Way Ste B, Gainesville, GA 30501-2543 | 2006-10-06 |
| 1023057510 | Dean C Kramer | Internal Medicine | 1155 Nw 64th Ter, Gainesville, FL 32605-4218 | 2006-06-06 |
| 1215995451 | Saroja D Rampertab | Internal Medicine | 1600 Sw Archer Rd # 100214, Gainesville, FL 32610-3003 | 2006-05-03 |
| 1841258449 | Nakechand R Pooran | Internal Medicine | Division of Gastroenterology and Hepatology, Univerisy of Florida, Gainesville, FL 32610-0214 | 2006-05-03 |
| 1407839533 | Kerry H King | Internal Medicine | 1955 Textile Way, Suite B, Gainesville, GA 30501 | 2005-11-22 |
| 1184158867 | Ahmed Ouni | Internal Medicine | 1600 Sw Archer Rd, Suite 4102, Gainesville, FL 32610-0265 | 2017-04-19 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on FREDERICK STEPHEN MOORE.
| 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.