DR. KIMBERLY DWAN MOORE (NPI# 1295957926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295957926 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY DWAN MOORE |
| Credential | M.D. |
| Practice Address |
30055 Northwestern Hwy Ste 270 Farmington Hills MI 48334-3240 |
| Practice Telephone | (248) 865-4220 |
| Practice Fax Number | 2488654103 |
| Mailing Telephone | (248) 865-4220 |
| Mailing Fax Number | 2488654103 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301083522 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16001 W 9 Mile Rd, Southfield, MI 480754818 | 2488493140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1528668878 | Kimberly Dawn Moore | Technician | 1211 Chapps Fork Rd, Charleston, WV 25312-7702 | 2020-10-27 |
| 1487117966 | Kimberly Dawn Moore | Counselor | 6315 Aylesworth Ave, Lincoln, NE 68505-1276 | 2019-04-10 |
| 1679051981 | Kimberly Ann Moore | Social Worker | 1 Richmond Sq Ste 333, Providence, RI 02906-5139 | 2018-07-31 |
| 1003352501 | Kimberly Ann Moore | Pharmacist | 174 Dapplegray Rd, Bell Canyon, CA 91307-1011 | 2017-01-09 |
| 1336596790 | Kimberly Moore | Counselor | 117 W 130th St, New York, NY 10027-2007 | 2016-05-16 |
| 1013300953 | Kimberly Moore | Occupational Therapist | 217 Bainbridge Cir, Muscle Shoals, AL 35661-4320 | 2015-03-17 |
| 1710390521 | Kimberly Moore | Speech-Language Pathologist | 660 Barnett Shoals Rd Apt 211, Athens, GA 30605-7613 | 2014-06-09 |
| 1841568706 | Kimberly Ann Moore | Physical Therapy Assistant | 1109 W 21st St, Lawrence, KS 66046-2831 | 2011-12-07 |
| 1710265368 | Kimberly Dawn Moore | Nurse Practitioner | 814 South 3rd Street, Minneapolis, MN 55415 | 2011-08-01 |
| Street Address |
30055 NORTHWESTERN HWY STE 270 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| 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 |
|---|---|---|---|---|
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1578944716 | Jenha Leann-muir Dargin | Obstetrics & Gynecology | 28100 Grand River Ave Ste 306s, Farmington Hills, MI 48336-5970 | 2015-06-13 |
| 1770997629 | Caitlyn Lee Klaska | Obstetrics & Gynecology | 28555 Orchard Lake Rd Ste 120, Farmington Hills, MI 48334 | 2014-06-19 |
| 1922246057 | Charlene V. Williams Md PC | Obstetrics & Gynecology | 24622 Adams Ct, Farmington Hills, MI 48335-1800 | 2009-01-28 |
| 1891739116 | Judith A Joslin-page | Obstetrics & Gynecology | 35125 Grand River Ave, Farmington Hills, MI 48335-3211 | 2006-06-16 |
| 1730138173 | Joseph Berenholz | Obstetrics & Gynecology | 30445 Northwestern Hwy Ofc 100, Farmington Hills, MI 48334-3168 | 2006-05-10 |
| 1629048772 | Kamlesh Kumari-lobo | Obstetrics & Gynecology | 24353 Orchard Lake Rd, Suite E, Farmington Hills, MI 48336-1917 | 2006-01-23 |
| 1972587475 | James E Labes | Obstetrics & Gynecology | 28555 Orchard Lake Rd, Ste 120, Farmington Hills, MI 48334 | 2005-11-30 |
| 1225029473 | Laura H Gruskin | Obstetrics & Gynecology | 34505 W 12 Mile Rd, Ste 195, Farmington Hills, MI 48331-3258 | 2005-11-04 |
| 1144222985 | Carrie Lynn Speier Schafer | Obstetrics & Gynecology | 27750 Middlebelt Rd, Ste 150, Farmington Hills, MI 48334-5005 | 2005-08-11 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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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.