DR. PAUL BEVERIDGE MOORE (NPI# 1285668699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285668699 |
| Entity Type | Individual |
| Full Name | DR. PAUL BEVERIDGE MOORE |
| Credential | M.D. |
| Practice Address |
273 Winton M Blount Loop Montgomery AL 36117-3507 |
| Mailing Address |
Po Box 241587 Montgomery AL 36124-1587 |
| Practice Telephone | 3342801500 |
| Practice Fax Number | 3342801600 |
| Mailing Telephone | 3342801500 |
| Mailing Fax Number | 3342801600 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
11047 | AL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
11047 | AL | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
11047 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICAL LICENSE | 11047 | 01 |
| AL | BLUE SHIELD PROVIDER # | 051007015 | 01 |
| AL | BLUE SHIELD PROVIDER # | 051017844 | 01 |
| DEA | AM2234021 | 01 | |
| AL | 17844 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649661356 | Paul Lloyd Moore | Social Worker | 516 Ravenwood Dr, Indian Land, SC 29707-9690 | 2015-02-17 |
| 1558782995 | Paul Moore | Counselor | 900 S Giddings St., Visalia, CA 93277 | 2014-01-03 |
| 1639238264 | Paul T Moore | Dentist | 306 South Shady Ave., Damascus, VA 24236 | 2006-12-08 |
| 1912092156 | Paul Terrence Moore | Specialist | 8722 Greenville Ave, Bldg. E Suite 102, Dallas, TX 75243-7167 | 2006-10-04 |
| 1326002023 | Paul E Moore | Family Medicine | 110 3rd St Ste 250, Henderson, KY 42420-5802 | 2006-04-12 |
| 1417945700 | Paul Derek Moore | Family Medicine | 815 Cumberland St, Suite 205, Lebanon, PA 17042-5266 | 2005-10-11 |
| 1457906737 | Paul Benjamin Moore | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2019-08-05 |
| 1356841118 | Paul Edward Moore | Psychologist | 1221 Abrams Rd Ste 325, Richardson, TX 75081-5579 | 2018-02-19 |
| 1942688981 | Paul Moore | Nurse Anesthetist, Certified Registered | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-05-11 |
| 1659717163 | Paul Moore | Nutritionist | 108 Doctors Dr, Boone, NC 28607-5000 | 2013-05-13 |
| Street Address |
273 WINTON M BLOUNT LOOP |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346852 | Scott W. Sims | Internal Medicine | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2005-06-20 |
| 1265085633 | Maranda Jaran Fain | Nurse Practitioner | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2019-07-24 |
| 1073027090 | Jennifer Massey Moore | Nurse Practitioner | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2017-11-29 |
| 1033640255 | Laura Crum | Nurse Practitioner | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2017-03-21 |
| 1487037800 | Lindsey Saunders | Nurse Practitioner | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2015-07-02 |
| 1114323300 | Leslie Hodge | Nurse Practitioner | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2014-11-14 |
| 1952724965 | James Mcgough | Nurse Practitioner | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2014-01-27 |
| 1316368475 | Sari Capilouto | Registered Nurse | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2013-12-16 |
| 1386085793 | Ashwini Sharma | Internal Medicine | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2013-07-13 |
| 1659615417 | Jonie Lynn Champlin | Nurse Practitioner | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386085793 | Ashwini Sharma | Internal Medicine | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2013-07-13 |
| 1699021972 | Wasiq Faraz Rawasia | Internal Medicine | 185 Mitylene Park Ln, Montgomery, AL 36117-7302 | 2012-07-24 |
| 1114924321 | Thomas J Wool | Internal Medicine | 2055 E South Blvd, Suite 403, Montgomery, AL 36116 | 2005-07-01 |
| 1275530636 | Pervaiz A Malik | Internal Medicine | 185 Mitylene Park Ln, Montgomery, AL 36117-7302 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730746454 | Usa Health Physician Billing Services LLC | Internal Medicine | 2451 University Hospital Dr Bldg C, Mobile, AL 36617-2300 | 2019-05-29 |
| 1689173684 | Cardiac Cin of Mobile LLC | Internal Medicine | 202c Government St, Mobile, AL 36602-2614 | 2018-02-05 |
| 1386809176 | Farah Al Khitan | Internal Medicine | 300 Medical Center Dr 401, Gadsden, AL 35903-1104 | 2008-07-22 |
| 1508993668 | Appalachian Cardiovascular Associates | Internal Medicine | 1990 Gault Ave N, Suite 200, Fort Payne, AL 35967-3418 | 2007-02-27 |
| 1619923844 | Craig Raymond Peterson | Internal Medicine | 19725 South Greeno Road, Fairhope, AL 36532-3843 | 2006-05-26 |
| 1639120819 | Cynthia June Anastas | Internal Medicine | 2045 Cecil Ashburn Dr Se, Suite 201, Huntsville, AL 35802-2563 | 2006-05-13 |
| 1659833515 | Cal Care of Al II, LLC | Internal Medicine | 202c Government St, Mobile, AL 36602-2614 | 2019-04-01 |
| 1700348679 | Cal Care of Al, LLC | Internal Medicine | 202c Government St, Mobile, AL 36602-2614 | 2019-04-01 |
| 1144563792 | Hussein Abu Daya | Internal Medicine | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2013-04-02 |
| 1790057420 | Bama Heart Doc, P.C. | Internal Medicine | 100 Rice Mine Road Loop, Suite 104, Tuscaloosa, AL 35406-2425 | 2012-01-26 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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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.