DR. BLAKE E MOORE (NPI# 1326215518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326215518 |
| Entity Type | Individual |
| Full Name | DR. BLAKE E MOORE |
| Credential | MD |
| Practice Address |
1800 Camelot Dr Suite 300 Virginia Beach VA 23454-2440 |
| Mailing Address |
230 Clearfield Ave Suite 124 Virginia Beach VA 23462-1832 |
| Practice Telephone | 7573213383 |
| Practice Fax Number | 7573213332 |
| Mailing Telephone | 7573213383 |
| Mailing Fax Number | 7573213332 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0101255929 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | UID441344 | PA | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
0101255929 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP | C05501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992903769 | Blake Walter Moore | Urology | 9101 Stony Point Dr., Richmond, VA 23235 | 2007-07-03 |
| 1801883756 | Blake Edwin Moore | Dentist | 2190 E Bidwell St, Folsom, CA 95630-6453 | 2005-10-05 |
| 1699387571 | Blake Moore | Pharmacist | 1155 E Saint Louis St, Springfield, MO 65806-2527 | 2020-08-20 |
| 1972896181 | Blake A Moore | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2011-05-20 |
| 1306855143 | Blake Harrison Moore | Family Medicine | 506 Highway 301 N, Dillon, SC 29536-2958 | 2006-08-07 |
| Street Address |
1800 CAMELOT DR SUITE 300 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921721 | David Walker Best | Internal Medicine | 1800 Camelot Dr, Suite 401, Virginia Beach, VA 23454-2440 | 2005-09-12 |
| 1124473889 | Tal Raizer | Nurse Practitioner | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2016-05-02 |
| 1245587278 | Christina Mccarville Hill | Physical Therapist | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2012-08-09 |
| 1851658819 | Rebecca J Demasi | Physician Assistant | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2012-04-16 |
| 1912297821 | Courtney A Miller | Physician Assistant | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2011-04-12 |
| 1083929491 | Vann Virginia Center for Orthopaedics | Occupational Therapist | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2010-08-10 |
| 1356579957 | Rebecca Mclain Ellis | Physical Therapist | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2009-06-23 |
| 1659523942 | Sentara Medical Group | Psychiatry & Neurology | 1800 Camelot Dr, Suite 201, Virginia Beach, VA 23454-2440 | 2008-10-17 |
| 1053572586 | Andrew B Coulter | Physical Therapist | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2008-06-18 |
| 1679783609 | Latonya Demetria Russell | Pediatrics | 1800 Camelot Dr, Suite 200, Virginia Beach, VA 23454-2440 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770709412 | Frank G. Burns | Orthopaedic Surgery | 2701 Shorehaven Dr, Virginia Beach, VA 23454-1721 | 2007-04-18 |
| 1952440950 | Alexander Aboka | Orthopaedic Surgery | 1232 Perimeter Pkwy Ste 205, Virginia Beach, VA 23454-5924 | 2007-02-06 |
| 1821054438 | Paul N Krop | Orthopaedic Surgery | 1800 Camelot Drive, Suite 300, Virginia Beach, VA 23454 | 2006-04-22 |
| 1164971545 | Orthovirgina, Inc. | Orthopaedic Surgery | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | 2016-09-27 |
| 1841692571 | Sentara Medical Group | Orthopaedic Surgery | 1080 First Colonial Rd Ste 305, Virginia Beach, VA 23454-2406 | 2014-09-25 |
| 1528301520 | William Abbott Byrd | Orthopaedic Surgery | 1975 Glenn Mitchell Dr Ste 200, Virginia Beach, VA 23456 | 2013-03-28 |
| 1295803567 | Joseph S Gondusky | Orthopaedic Surgery | 5716 Cleveland St Ste 200, Virginia Beach, VA 23462-1784 | 2006-12-02 |
| 1407937782 | Louis R Jordan | Orthopaedic Surgery | 5501 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6540 | 2006-10-17 |
| 1417053968 | Sandra E. Glasson | Orthopaedic Surgery | 968 First Colonial Rd, 101, Virginia Beach, VA 23454-3171 | 2006-09-15 |
| 1104855667 | James E Dowd | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2006-06-30 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
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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.