ELIZABETH ANN MOORE PC (NPI# 1275722464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275722464 |
| Entity Type | Organization |
| Organization Name | ELIZABETH ANN MOORE PC |
| Other Organization Name | GENERATIONS OBGYN |
| Practice Address |
10521 Jeffreys St Ste 100 Henderson NV 89052-4181 |
| Mailing Address |
10624 S Eastern Ave # A-406 Henderson NV 89052-2982 |
| Practice Telephone | 7024351037 |
| Practice Fax Number | 7024355430 |
| Mailing Telephone | 7024351037 |
| Mailing Fax Number | 7024355430 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2010-03-11 |
| Authorized Official Name | ELIZABETH ANN MOORE (PRESIDENT) |
| Authorized Official Telephone | 7024351037 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GENERATIONS OBGYN | Doing Business As Name - Organization |
| Street Address |
10521 JEFFREYS ST STE 100 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| 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 |
|---|---|---|---|---|
| 1366008120 | Amy Marie Falcone-wharton Md PC | Obstetrics & Gynecology | 1701 N Green Valley Pkwy Bldg 3, Ste B, Henderson, NV 89074-5885 | 2019-05-16 |
| 1285197384 | Stepanida Freeman Md PC | Obstetrics & Gynecology | 1701 N Greenway Pkwy, Ste 3b, Henderson, NV 89704 | 2019-04-08 |
| 1558833830 | Mehran Salek | Obstetrics & Gynecology | 990 Crescent Meadows Ct, Henderson, NV 89052-4957 | 2018-12-26 |
| 1487074829 | David Ollendorff | Obstetrics & Gynecology | 9 Grand Corniche Dr, Henderson, NV 89011-2005 | 2014-04-24 |
| 1770822207 | James Oscar Goodwin | Obstetrics & Gynecology | 1740 Parker Ln, Henderson, NC 27536-3541 | 2013-02-04 |
| 1043502446 | Stepanida Freeman | Obstetrics & Gynecology | 1701 N Green Valley Pkwy Ste 3b, Henderson, NV 89074 | 2011-05-04 |
| 1255631313 | Kevin Hsiung | Obstetrics & Gynecology | 1528 W Warm Springs Rd Ste 100, Henderson, NV 89014-4332 | 2010-10-23 |
| 1891004198 | Douglas Tanita | Obstetrics & Gynecology | 2420 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052-2725 | 2010-10-04 |
| 1821300716 | Hayat Jawadi | Obstetrics & Gynecology | 3041 W Horizon Ridge Pkwy Ste 165, Henderson, NV 89052 | 2010-07-08 |
| 1023332541 | Joseph Brodhead Callahan | Obstetrics & Gynecology | 391 Burning Tree Dr, Henderson, NC 27537-9608 | 2010-03-26 |
| Find all providers in HENDERSON | ||||
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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.