DR. JUSTIN R MOORE (NPI# 1235339870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235339870 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN R MOORE |
| Credential | M.D. |
| Practice Address |
100 Medical Center Dr Springfield OH 45504-2687 |
| Practice Telephone | 9375234147 |
| Practice Fax Number | 9375234952 |
| Mailing Telephone | 9375234147 |
| Mailing Fax Number | 9375234952 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
35.127204 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0094481 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3535 Pentagon Blvd, Beavercreek, OH 454311705 | 9377024024 | 9377024035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323946 | Justin Derrick Moore | Obstetrics & Gynecology | 9500 Euclid Ave # 44195, Cleveland, OH 44195-2648 | 2016-05-05 |
| 1346620119 | Justin R Moore | Counselor | 10 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-5312 | 2015-06-05 |
| 1619171568 | Justin J Moore | Counselor | Hu Box # 12262, Searcy, AR 72149-0001 | 2007-06-13 |
| 1619185006 | Justin Donald Moore | Physical Therapist | 4819 1st St S, Arlington, VA 22204-1315 | 2007-05-18 |
| 1366444267 | Justin L Moore | Specialist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2005-08-11 |
| 1831743699 | Justin Moore | Physical Therapy Assistant | 3470 Landers Rd, North Little Rock, AR 72117 | 2019-07-30 |
| 1346704970 | Justin Moore | Community Health Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2019-01-28 |
| 1699279117 | Justin Earl Moore | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-03-20 |
| 1437689122 | Justin Moore | Marriage & Family Therapist | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2017-06-14 |
| 1487005393 | Justin Anthony Moore | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-06-22 |
| Street Address |
100 MEDICAL CENTER DR |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45504-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087463 | Carl Douglas Porter | Physical Medicine & Rehabilitation | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2005-07-15 |
| 1659909422 | John Yolwa Walsh | Registered Nurse | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2020-03-29 |
| 1538702162 | Adine Edwards | Nurse Practitioner | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2019-10-27 |
| 1851943757 | Tracy Dean Kelley | Registered Nurse | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2019-07-10 |
| 1568951929 | Brendan Allen Weigand | Registered Nurse | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2018-05-01 |
| 1871096362 | Stephen Jacob Hoffman | Registered Nurse | 100 Medical Center Dr, Springfield, OH 45504 | 2018-03-12 |
| 1487178869 | Roli Bernadette Iwere | Internal Medicine | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2017-07-27 |
| 1407376809 | Akpezi Oshobe | Internal Medicine | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2017-06-27 |
| 1134656390 | Levi Chase Taylor | Nurse Anesthetist, Certified Registered | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2017-05-18 |
| 1659803740 | Community Mercy Health Partners | Pharmacy | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2017-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251227 | Brent Eresman | Massage Therapist | 25 W. Harding Rd, Springfield, OH 45504 | 2019-12-06 |
| 1346728300 | Bruns and Cross, LLC | Hearing Aid Equipment | 1905 West North Street, Springfield, OH 45504 | 2018-08-01 |
| 1376054197 | Trilogy Healthcare Operations of Springfield II, LLC | Skilled Nursing Facility | 2900 Bechtle Avenue, Springfield, OH 45504 | 2017-10-19 |
| 1639573967 | Lindsay Ann Brumfield | Speech-Language Pathologist | 643 Mayhill Road, Springfield, OH 45504 | 2014-10-15 |
| 1447662788 | Garrett Hayman | Chiropractor | 1052 Upper Valley Pike, Springfield, OH 45504 | 2014-05-21 |
| 1538582291 | Jerry Newport | Counselor | 474 N. Yellow Springs St, Mental Health Services for Clark and Madison Counties, Springfield, OH 45504 | 2014-01-30 |
| 1700217999 | Olivia Masters | Speech-Language Pathologist | 1600 St. Paris Rd., Springfield, OH 45504 | 2013-12-12 |
| 1972840312 | Luke N. Onuorah | Internal Medicine | 30 W Mccreight Ave Ste 106, Springfield, OH 45504 | 2013-01-04 |
| 1912208414 | Flexeon Rehabilitation Springfield Ohio, LLC | Clinic/Center | 1303 West 1st Street, Springfield, OH 45504 | 2010-11-15 |
| 1205137577 | Erin Elizabeth George | Social Worker | 30 W Mccreight Ave Ste 204, Springfield, OH 45504 | 2010-11-03 |
| Find all providers in zip 45504 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1659313823 | Peter White Jr. | Internal Medicine | 751 N Rutledge St Rm 2100, Springfield, IL 62702-4968 | 2006-06-12 |
| 1558309898 | John R. Carlile | Internal Medicine | 1000 E. Primrose, #200, Springfield, MO 65807-5388 | 2006-06-02 |
| 1134166317 | Moin Ahmed Ranginwala | Internal Medicine | 2029 East High Street, Suite 101, Springfield, OH 45505 | 2006-05-31 |
| 1558311126 | Donald G Gumprecht | Internal Medicine | 543 W Miller St, Springfield, IL 62702-4978 | 2006-05-12 |
| 1083604870 | Chih Ming Chen | Internal Medicine | 2150 Main St, Springfield, MA 01104-3300 | 2005-10-24 |
| 1700275385 | Keivan Shalileh | Internal Medicine | 751 N Rutledge St, Springfield, IL 62702-4968 | 2015-01-20 |
| 1841608890 | Mohammad E Abu Hishmeh | Internal Medicine | 3300 Main Street, 2nd Fl, Suite B, Springfield, MA 01107-1112 | 2014-07-22 |
| 1316353428 | Debdoot Saha | Internal Medicine | 800 E Carpenter St, Springfield, IL 62769 | 2014-07-09 |
| 1528473758 | Ammar Syed | Internal Medicine | 1235 E Cherokee St Rm 194, Springfield, MO 65804-2203 | 2014-06-26 |
| 1710397781 | Olaoluwatomi Kehinde Lamikanra | Internal Medicine | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45504 |
Please comment or provide details below to improve the information on DR. JUSTIN R 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.