DR. JOHN L. MOORE (NPI# 1316948573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316948573 |
Entity Type | Individual |
Full Name | DR. JOHN L. MOORE |
Credential | M.D. |
Practice Address |
4225 Lapalco Blvd Marrero LA 70072-4338 |
Mailing Address |
3909 Lapalco Blvd Ste 204 Harvey LA 70058-2302 |
Practice Telephone | 5043917337 |
Practice Fax Number | 5043987259 |
Mailing Telephone | 5043917337 |
Mailing Fax Number | 5043987259 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
008006 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1045411 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
1609218379 | John Easter Moore Jr. | Social Worker | 2032 Sheffield Rd, Oklahoma City, OK 73120-4926 | 2013-07-23 |
1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
1487915799 | John S Moore | Registered Nurse | 26300 Ford Rd # 160, Dearborn Heights, MI 48127-2854 | 2012-06-04 |
1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
1205130176 | John Robert Moore | Family Medicine | 9715 Hurlbut Rd, Remsen, NY 13438-4621 | 2011-01-06 |
1548462385 | John William Moore IIi | Internal Medicine | 2643 Patterson Rd Ste 605, Grand Junction, CO 81506-1937 | 2007-06-04 |
1962612317 | John D Moore | Hearing Instrument Specialist | 7050 W Palmetto Park Rd Ste 20, Boca Raton, FL 33433-3462 | 2007-05-23 |
Street Address |
4225 LAPALCO BLVD |
City | MARRERO |
State | LA |
Zip Code | 70072-4338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417582594 | Aaron Quentin Hunt | Nurse Practitioner | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2020-03-09 |
1487137758 | Margaret Kathleen Salib Barrios | Nurse Practitioner | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2018-09-12 |
1366924458 | Shawna Lynn Morron | Physician Assistant | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2018-09-05 |
1417496977 | Cassandra R Rockweiler | Social Worker | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2017-02-16 |
1497106876 | Ashley Tessitore | Nurse Practitioner | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2016-06-27 |
1932595345 | Carmen Joann Bruno | Podiatrist | 4225 Lapalco Blvd, Marrero, LA 70072 | 2015-04-13 |
1528409836 | Ochnser Clinic LLC | Eyewear Supplier (Equipment, not the service) | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2013-07-15 |
1972846798 | Jessica M May | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2013-03-29 |
1659614725 | Michelle Mullin Mims | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2013-03-27 |
1316289119 | Pamela Gayle Musacchia | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2013-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
Find all providers in zip 70072 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952486987 | Otholino Remedios | Pediatrics | 1200 Avenue G, Suite # 101, Marrero, LA 70072-3765 | 2006-10-26 |
1265433320 | Westside Clinics Anc | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072 | 2005-08-10 |
1083615652 | Robert L. Guy | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2005-08-09 |
1356342885 | Earl J. Madere | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2005-08-09 |
1730180183 | Charles Hunter Watts | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70073-2400 | 2005-08-09 |
1881695237 | Dean A Leone | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70073-2400 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962970582 | Total Health Family Medicine | Pediatrics | 9435 Mansfield Rd Ste 5b, Shreveport, LA 71118-3859 | 2018-11-13 |
1558571893 | Sarah Elizabeth Wheat | Pediatrics | 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 | 2007-05-23 |
1992925614 | John E Daigre Jr. | Pediatrics | 315 N Demanade Blvd, Lafayette, LA 70503-2555 | 2007-04-26 |
1811017882 | Barry Stephen Bordenave | Pediatrics | 321 Overhill Dr, Lake Charles, LA 70605-6527 | 2007-03-30 |
1174691034 | Linda Ann Doughty White | Pediatrics | 4511 Downman Rd, New Orleans, LA 70126-3716 | 2006-11-30 |
1780763946 | Alfredo Oscar Lebron | Pediatrics | 3220 Kaliste Saloom Rd, Lafayette, LA 70508 | 2006-11-06 |
1316030851 | Stephanie Catherine Arnaud | Pediatrics | 515 Westbank Expressway, Suite 1, Gretna, LA 70053 | 2006-10-02 |
1306945399 | Cecily Joan Poree-turner | Pediatrics | 4052 Ulloa St, New Orleans, LA 70119-6834 | 2006-09-22 |
1952401705 | Child Health America Physician Group | Pediatrics | 3324 Florida Blvd, Baton Rouge, LA 70806 | 2006-09-22 |
1720195290 | Dana Angelle Fakouri | Pediatrics | 8040 Goodwood Blvd, Baton Rouge, LA 70806-7631 | 2006-08-23 |
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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.