MARK C MOORE (NPI# 1124068846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124068846 |
| Entity Type | Individual |
| Full Name | MARK C MOORE |
| Credential | MD |
| Practice Address |
1313 Fish Hatchery Rd Dean Medical Center Madison WI 53715-1911 |
| Practice Telephone | 6082528000 |
| Practice Fax Number | 6082528245 |
| Mailing Telephone | 6082528000 |
| Mailing Fax Number | 6082528245 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
32945-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31824100 | 05 | |
| WI | DEAN HEALTH INSURANCE | 2901 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031019 | Mark Daniel Moore | Psychologist | 100 Miner St, Crescent City, IL 60928-8092 | 2017-08-30 |
| 1114462017 | Mark Christopher Moore | Anesthesiologist Assistant | 8000 E Maplewood Ave Bldg 5, Ste. 200, Greenwood Village, CO 80111-4766 | 2016-12-30 |
| 1699981183 | Mark Wayne Moore | Dentist | 2301 12th St, Meridian, MS 39301-3934 | 2007-05-14 |
| 1588747588 | Mark W Moore | Physical Therapist | 6036 N 19th Ave Ste 303, Phoenix, AZ 85015 | 2006-10-23 |
| 1346338530 | Mark Douglas Moore | Optometrist | 2020 N Tyler Rd Ste 124, Wichita, KS 67212-4916 | 2006-10-11 |
| 1730289935 | Mark Edward Moore | Optometrist | 3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 | 2006-09-25 |
| 1043328800 | Mark D Moore | Optometrist | 504 Peterson Ave S, Douglas, GA 31533-5254 | 2006-08-29 |
| 1104934462 | Mark Stephen Moore | Dentist | 5501 Matlock Rd, Arlington, TX 76018-1534 | 2006-08-28 |
| 1225022833 | Mark Phillip Moore | Dentist | 2048 Windward Ln, Gainesville, GA 30501-7418 | 2005-09-09 |
| 1710527130 | Mark Moore | Community Health Worker | 1114 Lane 12, Lovell, WY 82431-9555 | 2020-01-14 |
| Street Address |
1313 FISH HATCHERY RD DEAN MEDICAL CENTER |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335269 | Paul A Boeder | Obstetrics & Gynecology | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2005-09-07 |
| 1780202663 | Julie Armstrong | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2020-07-08 |
| 1316580517 | Kelly Nicole Morgan | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-10-21 |
| 1952952921 | Drew A Roenneburg | Physician Assistant | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-09-21 |
| 1386299154 | Antonia Efua Bertram | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-08-07 |
| 1407314081 | Tempesst L Merricks | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-03-04 |
| 1588133219 | Jorja Gander | Pharmacist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-11-26 |
| 1841772381 | Jessica M Vaughan | Advanced Practice Midwife | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-31 |
| 1295216430 | Sarah A Vadnais | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-26 |
| 1063906451 | Anthony P Rinaldi | Psychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598814402 | Susie Warren Lynn | Preventive Medicine | 9238 Madison Blvd, Building 1, Suite 200, Madison, AL 35758-9100 | 2007-01-09 |
| 1730260670 | Kim Anne Hanlon | Preventive Medicine | Westinghouse, Interstate 70,exit54, Madison, PA 15663 | 2006-10-18 |
| 1649729948 | U.S. Healthworks Medical Group of Tennessee, PC | Preventive Medicine | 1616 Gallatin Pike N, Madison, TN 37115-2104 | 2016-09-27 |
| 1053637090 | Jui B Haker | Preventive Medicine | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2010-04-15 |
| 1386891844 | Robert Anthony Carver Jr. | Preventive Medicine | 1719 Gallatin Pike N, Madison, TN 37115-2123 | 2008-08-26 |
| 1093970220 | Benjamin O Blagogee | Preventive Medicine | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2008-07-28 |
| 1861512352 | James W. Hurley | Preventive Medicine | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2007-03-30 |
| 1023138419 | Michael J. Bortoli | Preventive Medicine | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2007-03-30 |
| 1801833017 | Thomas T Midthun | Preventive Medicine | 1313 Fish Hatchery Rd, Dean Medical Center, Madison, WI 53715-1911 | 2006-05-31 |
| 1326095183 | Alison S Wilmeth | Preventive Medicine | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2006-05-27 |
| Find all providers in MADISON | ||||
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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.