MICHELE MOORE (NPI# 1255433371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255433371 |
| Entity Type | Individual |
| Full Name | MICHELE MOORE |
| Credential | D.O. |
| Practice Address |
7575 Northcliff Ave Suite 305 Brooklyn OH 44144-3267 |
| Mailing Address |
31249 Walker Rd Bay Village OH 44140-1409 |
| Practice Telephone | 2163985535 |
| Practice Fax Number | 2167493366 |
| Mailing Telephone | 4402500635 |
| Mailing Fax Number | 4402500635 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34006836M | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA PROVIDER NUMBER | 7051201 | 01 |
| OH | ANTHEM PIN NUMBER | 385235 | 01 |
| OH | 743136652027 | 05 | |
| OH | 215841 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275839706 | Michele A Moore | Registered Nurse | 45 N 250 W, Lagrange, IN 46761-8667 | 2011-02-01 |
| 1598060832 | Michele Ann Moore | Registered Nurse | 20370 Poe Sholes Road, Bend, OR 97701 | 2011-01-18 |
| 1851694673 | Michele Louise Moore | Nurse Practitioner | 9130 E Fraser Ct, Spokane, WA 99206-6083 | 2010-12-16 |
| 1477723831 | Michele Lynn Moore | Speech-Language Pathologist | 823 Brooklyn Ave, Apt 1d, Brooklyn, NY 11203-2849 | 2008-03-01 |
| 1396764031 | Michele M. Moore | Dietitian, Registered | 10538 Winters Run, Tallahassee, FL 32312-5107 | 2006-07-19 |
| 1972521607 | Michele Kay Moore | Chiropractor | 7951 Shoal Creek Blvd Ste 230, Austin, TX 78757-7567 | 2006-07-18 |
| 1215979299 | Michele Moore | Nutritionist | 101 Washignton Street, Harrisburg, PA 17104-1612 | 2006-06-12 |
| 1558875088 | Michele R Moore | Counselor | 2714 Canal St Ste 405, New Orleans, LA 70119-5555 | 2017-11-20 |
| 1144776212 | Michele Moore | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2016-08-29 |
| 1043560097 | Michele Jeanette Moore | Registered Nurse | 801 International Pkwy, Suite 500, Lake Mary, FL 32746-4762 | 2012-09-18 |
| Street Address |
7575 NORTHCLIFF AVE SUITE 305 |
| City | BROOKLYN |
| State | OH |
| Zip Code | 44144-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373650 | Lawrence A Detwiler | Internal Medicine | 7575 Northcliff Ave, Suite 102, Brooklyn, OH 44144-3267 | 2005-08-17 |
| 1740890201 | Kellie King | Nurse Practitioner | 7575 Northcliff Ave, Brooklyn, OH 44144-3267 | 2020-08-08 |
| 1396399077 | Kimberly Annmarie Babich-speck | Nurse Practitioner | 7575 Northcliff Ave, Brooklyn, OH 44144-3267 | 2019-07-30 |
| 1578994042 | Molly Gumucio | Nurse Practitioner | 7575 Northcliff Ave, Brooklyn, OH 44144-3267 | 2013-12-09 |
| 1528311198 | Ridgepark Nurse Practitioners LLC | Nurse Practitioner | 7575 Northcliff Ave, Suite 400, Brooklyn, OH 44144-3267 | 2012-10-19 |
| 1225362726 | Witham and Associates, Inc. | Psychiatry & Neurology | 7575 Northcliff Ave, Suite 201, Brooklyn, OH 44144-3267 | 2009-09-30 |
| 1639300015 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 7575 Northcliff Ave, Suite 105, Brooklyn, OH 44144-3267 | 2009-08-03 |
| 1659571776 | Precision Orthopaedic Specailties, Inc. | Anesthesiology | 7575 Northcliff Ave, Suite 300, Brooklyn, OH 44144-3267 | 2007-07-18 |
| 1427107713 | Kristen Kay Holderman | Nurse Practitioner | 7575 Northcliff Ave, Suite 400, Brooklyn, OH 44144-3267 | 2007-01-09 |
| 1407865488 | Ridgepark Medical Associates, Inc. | Clinical Medical Laboratory | 7575 Northcliff Ave, Laboratory Suite 106, Brooklyn, OH 44144-3267 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023531399 | Jacques Pollard | Home Health | 4228 West 58 Street, Cleveland, OH 44144 | 2017-07-19 |
| 1992248264 | Navjot Mahal | Pharmacist | 4728 Springwood Dr, Brooklyn, OH 44144 | 2016-11-18 |
| 1033503800 | Adam Grassi | Specialist/Technologist | 5605 Behrwald Avenue, Cleveland, OH 44144 | 2015-03-19 |
| 1033529342 | Chad Wilson | Psychologist | 9200 Biddulph Road, Brooklyn, OH 44144 | 2014-05-08 |
| 1508103631 | Hearty Hearts Home Health, LLC. | Home Health | 4161 Ridge Road, Cleveland, OH 44144 | 2013-01-09 |
| 1821206160 | Theresa Mcquinta Glynn | Licensed Practical Nurse | 4519 Wichita, Cleveland, OH 44144 | 2007-05-18 |
| 1821156696 | Anthony James Wyrwas | Chiropractor | 7575 Northcliff Avenue, Suite 405, Brooklyn, OH 44144 | 2006-12-05 |
| 1891271813 | Steven V Kozmary Md LLC | Clinic/Center | 7575 Northcliff Ave Ste 200, Brooklyn, OH 44144 | 2018-07-12 |
| 1881047306 | Christina Ferraro | Nurse Practitioner | 9500 Euclid Ave, R32, Cleveland, OH 44144 | 2016-07-20 |
| 1730743014 | Dialene R Haines | Contractor | 4200 Westbrook Dr Apt 110, Brooklyn, OH 44144-1201 | 2019-04-23 |
| Find all providers in zip 44144 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
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| 1932719044 | Sophie Miro Fortier | Family Medicine | 70 Washington St Apt 7j, Brooklyn, NY 11201-1466 | 2020-08-04 |
| 1598380701 | Imaduddin Hashmi Md Pllc | Family Medicine | 527 Coney Island Ave, Brooklyn, NY 11218-3466 | 2020-06-12 |
| 1932723053 | Cherysh Foster | Family Medicine | 299 Malcolm X Blvd, Brooklyn, NY 11233-3996 | 2020-06-04 |
| 1497377246 | Central Brooklyn Physician Pllc | Family Medicine | 387 Linden Blvd Fl 1, Brooklyn, NY 11203-2823 | 2020-05-15 |
| 1194350066 | Visavis Health Care Medical Group of Ny, Pllc | Family Medicine | 3923 Fort Hamilton Parkway, Brooklyn, NY 11218-1916 | 2020-03-11 |
| 1679106330 | Tanya Sereitha Morant | Family Medicine | 193 17th St, Brooklyn, NY 11215-6977 | 2020-02-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1043778038 | Carla Ylose Jean-baptiste | Family Medicine | 1000 E 98th St # 2, Brooklyn, NY 11236-2327 | 2019-03-08 |
| 1295201424 | Yente Chesny | Family Medicine | 1122 Chestnut Ave, Brooklyn, NY 11230-5844 | 2018-10-15 |
| Find all providers in BROOKLYN | ||||
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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.