DR. ANIKA TENE MOORE (NPI# 1114119732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114119732 |
| Entity Type | Individual |
| Full Name | DR. ANIKA TENE MOORE |
| Credential | MD |
| Practice Address |
63 Main St Brockton MA 02301 |
| Mailing Address |
63 Main St Brockton MA 02301-4042 |
| Practice Telephone | 5085596699 |
| Practice Fax Number | 5085595073 |
| Mailing Telephone | 5085596699 |
| Mailing Fax Number | 5085595073 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 265368 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP PTAN | W1508 | 01 |
| CA | 1174859425 | 05 | |
| CA | 1447277355 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 63 Main St, Brockton, MA 023014042 | 5085596699 | |
| 116 South Palisade Drive, Suite 104, Santa Maria, CA 934548905 | 8057393000 | 8055436357 |
| Street Address |
63 MAIN ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602223 | Kathleen P Pringle | Advanced Practice Midwife | 63 Main St, Brockton, MA 02301-4042 | 2005-07-11 |
| 1639770548 | Meredith Hansen | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2020-11-06 |
| 1699399824 | Maya Don Chay | Registered Nurse | 63 Main St, Brockton, MA 02301-4042 | 2020-06-03 |
| 1588204259 | Jennifer Koningisor | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2020-01-10 |
| 1679112163 | Bianca St. Louis | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2019-12-31 |
| 1245877505 | Sarah Beth Blodgett | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-12-05 |
| 1235780107 | Chloe Martin | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-09-23 |
| 1417505967 | Elizabeth Coley | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-08-28 |
| 1225683758 | Rachel Revis | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-08-01 |
| 1376105130 | Johanne Cazeau | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457417669 | James Marquardt, Md, PC. | Obstetrics & Gynecology | 47 Libby St, Brockton, MA 02302-2949 | 2006-12-29 |
| 1891723334 | Harold Michlewitz | Obstetrics & Gynecology | 650 Centre St, Brockton, MA 02302-3308 | 2006-06-30 |
| 1689637944 | Uhun Ro Lee | Obstetrics & Gynecology | 45 Pearl St, Brockton, MA 02301-2858 | 2006-04-08 |
| 1639176910 | Marcia Waitzman | Obstetrics & Gynecology | 680 Centre St, Brockton, MA 02302-3308 | 2005-07-01 |
| 1659759710 | Maryam Yeganegi | Obstetrics & Gynecology | 63 Main St, Brockton, MA 02301 | 2015-05-09 |
| 1851529499 | Sandy Cho | Obstetrics & Gynecology | 680 Centre St, Brockton Hospital, Signature Healthcare, Brockton, MA 02302-3308 | 2009-06-22 |
| 1093910788 | Gregory Wei Chiang Woo | Obstetrics & Gynecology | 680 Centre St, Brockton, MA 02302-3308 | 2007-06-20 |
| 1124149364 | Brooke J Bloom | Obstetrics & Gynecology | 650 Centre St, Brockton, MA 02302-3308 | 2007-04-03 |
| 1558427070 | Hanjani PC | Obstetrics & Gynecology | 830 Oak St, Ste 201w, Brockton, MA 02301-1168 | 2006-12-29 |
| 1255435707 | Ana Cristina Vasilescu | Obstetrics & Gynecology | 235 N Pearl St, Brockton, MA 02301-1794 | 2006-09-12 |
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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.