MARK K MOORE (NPI# 1255445458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255445458 |
| Entity Type | Individual |
| Full Name | MARK K MOORE |
| Credential | MD |
| Practice Address |
601 W Hwy 6 101 Waco TX 76710-5575 |
| Mailing Address |
Po Box 18962 Belfast ME 04915-4084 |
| Practice Telephone | 2547725454 |
| Practice Fax Number | 2547726464 |
| Mailing Telephone | 8005665050 |
| Mailing Fax Number | 2545376869 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2017-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | J9911 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 037091803 | 05 |
| 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 |
601 W HWY 6 101 |
| City | WACO |
| State | TX |
| Zip Code | 76710-5575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962485516 | William R Nesmith | Pediatrics | 601 W Hwy 6, Suite 102, Waco, TX 76710-5591 | 2005-11-28 |
| 1235564246 | Kari D Herman | Advanced Practice Midwife | 601 W Hwy 6, Suite 101, Waco, TX 76710-5591 | 2013-09-09 |
| 1063774214 | Daniel Augustus Smith | Pathology | 601 W Hwy 6, Suite 111, Waco, TX 76710-5591 | 2012-06-13 |
| 1265792964 | Noelle Aissa Baker | Obstetrics & Gynecology | 601 W Hwy 6, Suite 101, Waco, TX 76710-5591 | 2012-05-29 |
| 1770852840 | Legacy Medical Imaging | Clinic/Center | 601 W Hwy 6, Suite 104, Waco, TX 76710-5591 | 2011-12-20 |
| 1659503464 | Quest Imaging, Inc. | Physiological Laboratory | 601 W Hwy 6, Suite 104, Waco, TX 76710-5591 | 2009-08-12 |
| 1346498755 | Cary Daniel Chisholm | Pathology | 601 W Hwy 6, Suite 111, Waco, TX 76710-5591 | 2008-08-28 |
| 1669676227 | Catherine Sue Conner | Pediatrics | 601 W Hwy 6, Suite 102, Waco, TX 76710-5591 | 2007-06-14 |
| 1184701724 | Smc Home Health, Inc. | Home Infusion | 601 W Hwy 6, Suite 114, Waco, TX 76710-5591 | 2006-11-01 |
| 1275639007 | Waco Pathology Associates, P.a. | Pathology | 601 W Hwy 6, Suite 111, Waco, TX 76710-5591 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487066270 | Katy Britten Wesley | Obstetrics & Gynecology | 120 Hillcrest Medical Blvd Bldg II Suite 300, Waco, TX 76712-8951 | 2014-05-28 |
| 1629239579 | Lacy Coker Kessler | Obstetrics & Gynecology | 2420 Wycon Dr, Suite 403, Waco, TX 76712-8987 | 2008-06-23 |
| 1750575742 | Paula E Smith | Obstetrics & Gynecology | 50 Hillcrest Medical Blvd Ste 304, Waco, TX 76712-8955 | 2007-09-01 |
| 1881784775 | Kenneth Walter Koeritz Jr. | Obstetrics & Gynecology | 2501 Ambassador Dr, Waco, TX 76712-8944 | 2006-10-13 |
| 1801982152 | Homayun Seirafi | Obstetrics & Gynecology | 2410 Wycon Dr, Suite 204, Waco, TX 76712-8957 | 2006-10-05 |
| 1922112192 | Waco Center for Women's Health, P.a. | Obstetrics & Gynecology | 601 West Highway 6, Suite 101, Waco, TX 76712-5575 | 2006-08-18 |
| 1932117215 | Mark Rowe | Obstetrics & Gynecology | 405 Londonderry Dr Ste 311, Waco, TX 76712-7922 | 2006-08-03 |
| 1982663886 | Claudia G. Bachofen | Obstetrics & Gynecology | 120 Hillcrest Medical Blvd Ste 201-2, Waco, TX 76712 | 2006-03-20 |
| 1467420158 | Wilbur Gene Murff | Obstetrics & Gynecology | 3115 Pine, Ste 1001, Waco, TX 76708 | 2006-03-09 |
| 1689641656 | Chia-lien Wang | Obstetrics & Gynecology | 2410 Wycon Dr Ste 204, Waco, TX 76712-8991 | 2006-03-08 |
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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.