GARY C MOORE (NPI# 1114560265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114560265 |
| Entity Type | Individual |
| Full Name | GARY C MOORE |
| Credential | QMHS MA |
| Practice Address |
1501 Madison Rd Walnut Hills OH 45206-1706 |
| Practice Telephone | 5133545200 |
| Mailing Telephone | 5133545200 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497285266 | Gary Thomas Moore | Behavior Technician | 6311 Bonaire Ave, New Port Richey, FL 34653-1601 | 2017-06-14 |
| 1316016967 | Gary Carl Moore | Chiropractor | 256 Roskovensky Rd, Latrobe, PA 15650-5489 | 2006-11-07 |
| 1376522979 | Gary N Moore | Dentist | 2620 Tenderfoot Hill St Ste 210, Colorado Springs, CO 80906 | 2006-01-11 |
| 1487120275 | Gary Moore | Counselor | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2018-10-18 |
| 1417407917 | Gary Moore | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-10-07 |
| 1407151756 | Gary Moore | Physical Therapy Assistant | 200 Sw 14th St, Newton, KS 67114-4701 | 2011-01-18 |
| 1437392768 | Gary L Moore | Counselor | 3260 N Hayden Rd, Suite 112, Scottsdale, AZ 85251-6649 | 2009-04-16 |
| 1437305042 | Gary John Moore | Registered Nurse | 1519 Nye Rd, Suite 200, Lyons, NY 14489-9133 | 2008-08-14 |
| 1093924623 | Gary Moore | Case Manager/Care Coordinator | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2007-05-21 |
| 1053533455 | Gary Thomas Moore | Counselor | 212 I St, Davis, CA 95616-4213 | 2007-05-03 |
| Street Address |
1501 MADISON RD |
| City | WALNUT HILLS |
| State | OH |
| Zip Code | 45206-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265532 | Christie Fox | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-05 |
| 1114528692 | Heidi A Saba | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-03 |
| 1558962035 | Helen Walters | Military Health Care Provider | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-03 |
| 1477154912 | Tehya S Sidler | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-02 |
| 1568062503 | Dana L Osborne | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-29 |
| 1659971547 | Cindy Welling | Registered Nurse | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-29 |
| 1992305072 | Julie M Sieber | Social Worker | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-28 |
| 1972103331 | Ali M Hargrave | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-27 |
| 1528668902 | James S Gamble | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-27 |
| 1902406325 | Hannah H Huth | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730686478 | Teresa Marie Truesdell | Counselor | 3605 Woodburn Ave, Cincinnati, OH 45206 | 2018-04-10 |
| 1881137172 | Chase Mauger | Counselor | 2700 Victory Parkway, Cincinnati, OH 45206 | 2016-11-18 |
| 1316492390 | The Young Men's Christian Association of Greater Cincinnati | Health Educator | 2840 Melrose Avenue, Cincinnati, OH 45206 | 2016-08-19 |
| 1326591231 | Valante Jackson | Counselor | 2638 Victory Pkwy, Cincinnati, OH 45206 | 2016-07-27 |
| 1245637099 | Charles Workman | Social Worker | 2600 Victory Parkway, Cincinnati, OH 45206 | 2014-11-21 |
| 1154727642 | Lauren Schrand | Social Worker | 2651 Observatory Ave., Cincinnati, OH 45206 | 2014-11-10 |
| 1619387487 | Jeanne Romell | Occupational Therapy Assistant | 1520 Madison Road, Cincinnati, OH 45206 | 2014-05-02 |
| 1821347923 | Geoffrey L Raine | Counselor | 1501 Madison Road, Cincinnati, OH 45206 | 2012-09-05 |
| 1215207766 | Consultants of Mind Matters, Inc | Counselor | 2200 Victory Parkway, Suite 602, Cincinnati, OH 45206 | 2011-12-30 |
| 1851671093 | Patricia Lynn Zureick | Counselor | 2330 Victory Parkway Ave, Mercy Professional Services Suite 500, Cincinnati, OH 45206 | 2011-08-19 |
| Find all providers in zip 45206 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265532 | Christie Fox | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-05 |
| 1114528692 | Heidi A Saba | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-03 |
| 1477154912 | Tehya S Sidler | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-02 |
| 1568062503 | Dana L Osborne | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-29 |
| 1972103331 | Ali M Hargrave | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-27 |
| 1528668902 | James S Gamble | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-27 |
| 1902406325 | Hannah H Huth | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-26 |
| 1902404411 | Oscar Spille | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-16 |
| 1285232256 | Christopher Kandel | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-13 |
| 1174120877 | Ethan Smuzok | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-06 |
| Find all providers in WALNUT HILLS | ||||
| City | WALNUT HILLS |
| Zip Code | 45206 |
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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.