HOMER J. MOORE JR. (NPI# 1255490900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255490900 |
| Entity Type | Individual |
| Full Name | HOMER J. MOORE JR. |
| Credential | MD |
| Practice Address |
1121 Nw 64th Ter Suite A Gainesville FL 32605-4243 |
| Practice Telephone | 3523313583 |
| Practice Fax Number | 3523313669 |
| Mailing Telephone | 3523313583 |
| Mailing Fax Number | 3523313669 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
50807 | TN | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD.MD.60367324 | WA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
P4598 | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
8313 | SD | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME42681 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G84179 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1121 NW 64TH TER SUITE A |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447234364 | Jeffery S Snyder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1121 Nw 64th Ter, Suite B, Gainesville, FL 32605-4243 | 2005-12-05 |
| 1982152377 | Samantha Noah | Nurse Practitioner | 1121 Nw 64th Ter, Suite A, Gainesville, FL 32605-4243 | 2016-09-14 |
| 1316359383 | North Florida Regional Psychiatry, LLC | Clinic/Center | 1121 Nw 64th Ter, Suite B, Gainesville, FL 32605 | 2014-05-27 |
| 1932428869 | Cameron Haeseker | Nurse Practitioner | 1121 Nw 64th Ter, Suite A, Gainesville, FL 32605-4243 | 2010-05-17 |
| 1336301753 | Marnie Stefan Acta | Psychiatry & Neurology | 1121 Nw 64th Ter, Suite A, Gainesville, FL 32605-4243 | 2008-06-26 |
| 1164550356 | Ruthann Yoder Nettleton | Physician Assistant | 1121 Nw 64th Ter, Ste A, Gainesville, FL 32605-4243 | 2007-03-01 |
| 1013061084 | Gregory Truitt Sherr | Neurological Surgery | 1121 Nw 64th Ter, Suite A, Gainesville, FL 32605-4243 | 2007-01-23 |
| 1649377847 | Caretenders Visiting Services of Gainesville, LLC | Home Health | 1121 Nw 64th Ter, Suite C, Gainesville, FL 32605-4243 | 2006-09-20 |
| 1982688628 | North Florida Surgical Associates LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1121 Nw 64th Ter, Suite B, Gainesville, FL 32605-4243 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215315569 | Kathryn Pax Lattimore Moore | Psychiatry & Neurology | Uf Health Center for Movement Disorder and Restoration, 3450 Hull Rd, Gainesville, FL 32607 | 2015-05-07 |
| 1760801815 | Pouya Alexander Ameli | Psychiatry & Neurology | Uf Neurology Mcknight Brain Institute 1149 Newell Drive, Gainesville, FL 32610-0001 | 2014-04-15 |
| 1104265909 | Nakia Wilson | Psychiatry & Neurology | 100 Newell Dr Ste L3-100, Gainesville, FL 32610 | 2013-06-14 |
| 1760829824 | Justin Michael Yancey | Psychiatry & Neurology | 4343 W Newberry Rd Ste 3, Gainesville, FL 32607 | 2013-05-30 |
| 1457643314 | Addie Patterson | Psychiatry & Neurology | 3450 Hull Rd Fl 4, Gainesville, FL 32607-4144 | 2011-05-11 |
| 1629380720 | Qingshan Teng | Psychiatry & Neurology | 100 S Newell Dr, L3-100, Gainesville, FL 32610-0236 | 2010-07-06 |
| 1942432067 | Buna Joe Wilder Sr. | Psychiatry & Neurology | 10530 Nw 15th Pl, Gainesville, FL 32606 | 2009-08-24 |
| 1457568644 | Daniel Lamar Cobb | Psychiatry & Neurology | 1485 Jesse Jewell Pkwy Ne Ste 240, Gainesville, GA 30501-3801 | 2007-05-17 |
| 1962620070 | Suvarchala Somayajula | Psychiatry & Neurology | 1315 Jesse Jewell Parkway Se, Suite 300, Gainesville, GA 30501 | 2007-04-23 |
| 1346348281 | George G Feussner Md Pa | Psychiatry & Neurology | 7106 Nw 11th Place, Suite A, Gainesville, FL 32605-3157 | 2006-09-21 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
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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.