DR. BARBARA ELLEN MOORE (NPI# 1225117625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225117625 |
Entity Type | Individual |
Full Name | DR. BARBARA ELLEN MOORE |
Credential | M.D. |
Practice Address |
4311 Melqua Rd Roseburg OR 97470-8953 |
Practice Telephone | 5416725806 |
Practice Fax Number | 5416728339 |
Mailing Telephone | 5416725806 |
Mailing Fax Number | 5416728339 |
Enumeration Date | 2006-11-04 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
A22449 | CA | Allopathic & Osteopathic Physicians |
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD25612 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | O27954 | 05 | |
CA | 00A224490 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528456761 | Barbara Moore | Dentist | 3674 Commerce Pl, Hamburg, NY 14075-3664 | 2014-12-22 |
1528315124 | Barbara R. Moore | Doula | 1407 Humboldt St, Denver, CO 80218-2379 | 2012-08-14 |
1447574744 | Barbara Jean Moore | Registered Nurse | 19 Ridgewood Ave, Brentwood, NY 11717-2105 | 2010-03-16 |
1841512100 | Barbara C Moore | Counselor | 1294 Chapel Street, New Haven, CT 06511 | 2010-02-26 |
1023133741 | Barbara A Moore | Social Worker | 12717 S Peoria St, Chicago, IL 60643-6638 | 2007-03-20 |
1073655742 | Barbara Moore | Contractor | 10541 Goddard St, Apt. 345, Overland Park, KS 66214-3017 | 2007-02-12 |
1679625214 | Barbara Ann Moore | Marriage & Family Therapist | 4108 Lantern Ln, Valdosta, GA 31602-6720 | 2007-01-16 |
1124184122 | Barbara J Moore | Psychologist | 23910 42nd Ave, Douglaston, NY 11363-1524 | 2006-12-28 |
1922164615 | Barbara C. Moore | Speech-Language Pathologist | 4010 Barranca Pkwy, Suite 220, Irvine, CA 92604-4711 | 2006-12-28 |
1962563890 | Barbara J Moore | Counselor | 1501 Merrimac Circle, Ste 101, Ft Worth, TX 76107 | 2006-12-13 |
Street Address |
4311 MELQUA RD |
City | ROSEBURG |
State | OR |
Zip Code | 97470-8953 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
Find all providers in zip 97470 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811257124 | Hpa Housecall PC | Family Medicine | 6975 Sw Sandburg St Ste 190, Portland, OR 97223-8136 | 2012-05-21 |
1023226271 | River Medical Clinic PC | Family Medicine | 13021 Se River Rd, Portland, OR 97222-8062 | 2007-05-20 |
1366589905 | Bruce W Duffy | Family Medicine | 4182 Vitae Springs Rd S, Salem, OR 97306-9705 | 2007-01-31 |
1518028976 | Samuel S Suk | Family Medicine | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2006-12-12 |
1982774543 | Harry S Krulewitch, Md PC | Family Medicine | 4838 Sw Scholls Ferry Rd, Portland, OR 97225-1629 | 2006-11-09 |
1215953724 | Howard M Graitzer | Family Medicine | 6808 Se 28th Ave, Portland, OR 97202-8705 | 2006-07-15 |
1598799553 | Harry Scott Krulewitch | Family Medicine | 1101 Sw Coronado St, Portland, OR 97219-7625 | 2006-07-10 |
1578508214 | Natasa Petrac | Family Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2006-06-17 |
1043838519 | Mid-valley Healthcare, Inc. | Family Medicine | 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | 2020-07-10 |
1962975284 | Rachel Marie Nolan | Family Medicine | 10330 Se 32nd Ave Ste 110, Milwaukie, OR 97222-6596 | 2019-01-09 |
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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.