DR. KRISTEN NICOLE MOORE (NPI# 1346447943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346447943 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN NICOLE MOORE |
| Credential | M.D. |
| Practice Address |
710 Genesis Blvd Bridgeport WV 26330-9668 |
| Practice Telephone | 3048086065 |
| Practice Fax Number | 3048086067 |
| Mailing Telephone | 3048086065 |
| Mailing Fax Number | 3048086067 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 23799 | WV | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 23799 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861951501 | Kristen Moore | Specialist/Technologist | 4927 Lasher Ct, Murrysville, PA 15668-9318 | 2019-03-12 |
| 1811220262 | Kristen Marie Paulsen Moore | Social Worker | 10820 Justice Center Dr, Roseville, CA 95678-6222 | 2009-09-16 |
| 1720244239 | Kristen M Moore | Pharmacist | 1105 Ballena Circle, Cary, NC 27513 | 2008-08-04 |
| 1487653895 | Kristen Moore | Nurse Practitioner | 5681 N Oracle Rd, Tucson, AZ 85704-3813 | 2005-07-18 |
| 1588277248 | Kristen Nichole Moore | Optometrist | 2 S Rowe St, Pryor, OK 74361-4623 | 2020-08-24 |
| 1942811062 | Kristen Moore | Physical Therapist | 1910 Old Tustin Ave, Santa Ana, CA 92705-7811 | 2020-08-12 |
| 1124637178 | Kristen Marie Moore | Counselor | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-07-27 |
| 1720622731 | Kristen Moore | Health Educator | 1280 Nw Saltzman Rd, Portland, OR 97229-5642 | 2019-11-01 |
| 1215473178 | Kristen Michelle Moore | Physical Therapist | 915 N River Rd, Saginaw, MI 48609-6865 | 2017-01-16 |
| 1467908723 | Kristen Jenetta Moore | Occupational Therapist | 16782 Von Karman Ave Ste 11, Irvine, CA 92606 | 2016-08-28 |
| Street Address |
710 GENESIS BLVD |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255444766 | Timothy K Jackson | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-08-17 |
| 1487168795 | Meranda Chipps | Nurse Practitioner | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2017-11-22 |
| 1871969717 | Carol Mclennan | Nurse Practitioner | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2015-08-14 |
| 1811332166 | John Blake Epling | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2013-04-30 |
| 1245585207 | Aaradhana Kaul | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2012-07-16 |
| 1780767772 | United Hospital Center | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-10-23 |
| 1679672505 | Premier Medical Group, Inc. | Clinical Medical Laboratory | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619525466 | Ilja Hulinsky Md PC | Internal Medicine | 4641 Main St Ste 3, Bridgeport, CT 06606-1827 | 2019-08-26 |
| 1801245931 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 307, Bridgeport, WV 26330-9010 | 2016-06-09 |
| 1972957819 | Diana Rachel Stern Ferrante | Internal Medicine | 267 Grant St., Bridgeport, CT 06610 | 2016-04-18 |
| 1053711879 | Louis Ernest D'onofrio Jr. | Internal Medicine | 3180 Main St Unit 1b, Bridgeport, CT 06606-4237 | 2014-08-28 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1477849354 | Hervey Weitzman, Md, LLC | Internal Medicine | 4699 Main St Ste 213, Bridgeport, CT 06606-1830 | 2011-06-20 |
| 1598086506 | Saurabh Ranjan | Internal Medicine | 267 Grant Street, Gme 4th Floor, Bridgeport Hospital, Bridgeport, CT 06610 | 2010-06-14 |
| 1013143130 | Kevin B Panzer | Internal Medicine | 1381 Reservoir Ave., Bridgeport, CT 06606 | 2009-06-03 |
| 1720228455 | Wayne S Levin Md | Internal Medicine | 3690 Main St, Bridgeport, CT 06606-3610 | 2009-02-20 |
| 1992908537 | Jonathan Edmund Stanley | Internal Medicine | 527 Medical Park Dr Ste 302, Bridgeport, WV 26330-9009 | 2007-06-11 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.