MARY D MOORE (NPI# 1275502445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275502445 |
| Entity Type | Individual |
| Full Name | MARY D MOORE |
| Credential | M.D. |
| Practice Address |
1000 Oakland Dr Kalamazoo MI 49008-1282 |
| Practice Telephone | 2693376400 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
4301080845 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4440356 | 05 | |
| BCBS | 3503906282 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215467 | Mary Major Moore | Massage Therapist | 335 Ne 4th St # Dt, Bend, OR 97701-5162 | 2020-01-30 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1063654192 | Mary G Moore | Counselor | 103 William Dr, Normal, IL 61761-1862 | 2009-04-06 |
| 1588812325 | Mary Moore | Occupational Therapist | 6801 Copra Ln, Louisville, KY 40219-2156 | 2008-09-05 |
| 1275796625 | Mary Moore | Advanced Practice Midwife | 4118 Winnemac Ave, Madison, WI 53711-1645 | 2008-07-07 |
| 1023288123 | Mary Elizabeth Moore | Registered Nurse | 1064 Independence Ave, Akron, OH 44310 | 2008-03-04 |
| 1861672347 | Mary Patricia Moore | Psychiatry & Neurology | 280 Broad St Ste E, Kernersville, NC 27284-2948 | 2007-11-13 |
| 1134314263 | Mary Margaret Moore | Dermatology | 7435 Highway 6 Ste B, Missouri City, TX 77459-4698 | 2007-09-11 |
| 1871799957 | Mary E Moore | Psychologist | 325 W Hospitality Lane, Suite 310, San Bernandino, CA 92408-3212 | 2007-06-25 |
| 1578629309 | Mary A Moore | Social Worker | 19206 Huebner, Ste 104, San Antonio, TX 78258-9800 | 2006-12-28 |
| Street Address |
1000 OAKLAND DR |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467249 | Michigan State University Kalamazoo Center for Medical Studies | Clinic/Center | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2005-06-17 |
| 1154930899 | Rawand Khaled Abdel Wahed | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-29 |
| 1932717808 | Reem Issa Ibrahim Anz | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-16 |
| 1386262525 | Mohammad Sabobeh | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-13 |
| 1396363024 | Marian Jirjis | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-09 |
| 1538786314 | David Mahmoudian | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1284 | 2020-06-29 |
| 1316564099 | Mursel Momand | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-29 |
| 1992322713 | Taylor Cable | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-26 |
| 1679199665 | Haripriya Santhanam | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-25 |
| 1134745110 | Faisal Ansari | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033524335 | Regents of The University of Michigan | Pediatrics | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105 | 2014-06-25 |
| 1306251699 | Regents of The University of Michigan | Pediatrics | 8001 Challis Road, Brighton, MI 48116 | 2014-06-25 |
| 1649492802 | Elizabeth Anne Kessler | Pediatrics | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2007-05-03 |
| 1205879954 | Basil M Fathalla | Pediatrics | 3901 Beaubien St, Children's Hospital of Mi, Detroit, MI 48201-2119 | 2006-06-13 |
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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.