ROGER T MOORE (NPI# 1366408080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366408080 |
| Entity Type | Individual |
| Full Name | ROGER T MOORE |
| Credential | M.D. |
| Practice Address |
111 N Nappanee St Elkhart IN 46514-1957 |
| Mailing Address |
111 N Nappanee Street Elkhart IN 46514 |
| Practice Telephone | 5745220265 |
| Practice Fax Number | 5742932855 |
| Mailing Telephone | 5745220265 |
| Mailing Fax Number | 5742932855 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 01058554A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942426424 | Roger Moore | Chiropractor | 21840 Highway 5, West Blocton, AL 35184-2747 | 2007-04-17 |
| 1558401497 | Roger L Moore | Registered Nurse | 710 Perryville Road, Harrodsburg, KY 40330 | 2007-02-08 |
| 1194863001 | Roger Wayne Moore | Family Medicine | 1 Lockheed Blvd., Fort Worth, TX 76108 | 2007-02-02 |
| 1538231998 | Roger Byron Moore Jr. | Psychologist | 301-f Keisler Drive, Cary, NC 27518 | 2006-11-14 |
| 1669476214 | Roger Moore | Optometrist | 14 Church Hill Rd, Newtown, CT 06470-1640 | 2005-06-10 |
| 1265921316 | Roger Moore | Counselor | 14572 Us Highway 23 Ste A, Waverly, OH 45690-9448 | 2018-05-04 |
| 1518131275 | Roger Moore | Marriage & Family Therapist | 509 Olive Way, Suite 1401, Seattle, WA 98101-1720 | 2008-04-14 |
| 1891726113 | Roger Moore | Family Medicine | 120 Hobart St, Utica, NY 13501-4308 | 2006-07-05 |
| 1750322822 | Roger A Moore | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2006-06-09 |
| 1295793099 | Roger L. Moore | Physician Assistant | 2929 S Garnett Rd, C/o Medcenter, Tulsa, OK 74129-5101 | 2006-05-02 |
| Street Address |
111 N NAPPANEE ST |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362636 | Sarah Nicole Kosinski | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514-1957 | 2020-09-30 |
| 1689158834 | Sarah Elizabeth Geairn | Nurse Practitioner | 111 N Nappanee St, Elkhart, IN 46514-1957 | 2018-09-23 |
| 1457728719 | Joshua Peter Holewinski | Nurse Practitioner | 111 N Nappanee St, Elkhart, IN 46514-1957 | 2015-08-21 |
| 1235536939 | Eric Daniel Roberts | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514 | 2014-11-24 |
| 1437312352 | Mariah Lefforge | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514-1957 | 2008-07-10 |
| 1346465036 | Advanced Dermatology of Northern Indiana, PC | Specialist | 111 N Nappanee St, Elkhart, IN 46514-1957 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998692 | Medovate, LLC | Dermatology | 9305 Calumet Ave Ste A1, Munster, IN 46321-2888 | 2019-12-06 |
| 1386107829 | Strausburg Dermatology Group LLC | Dermatology | 92 S Park Blvd, Greenwood, IN 46143-8836 | 2019-04-11 |
| 1467834127 | Emily W Shelley | Dermatology | 8433 Harcourt Rd Ste 310, Indianapolis, IN 46260-2198 | 2015-06-18 |
| 1396133518 | Forefront Dermatology, S.c. | Dermatology | 188 State Road 129 S. Ste B, Batesville Medical Arts Bldg, Batesville, IN 47006 | 2014-12-23 |
| 1003211392 | Forefront Dermatology, S.c. | Dermatology | 1473 N Gardner St Ste A, C/o Scott Memorial Hospital, Scottsburg, IN 47170 | 2014-10-29 |
| 1639580152 | Nikolajs Perdue | Dermatology | 6820 Parkdale Pl Ste 211, Indianapolis, IN 46254-6600 | 2014-05-19 |
| 1356785778 | Larry Gene Bond | Dermatology | 9637 W. County Rd 200 N., Frankfort, IN 46041 | 2013-04-29 |
| 1093057911 | Matthew Bradley Strausburg | Dermatology | 9292 N Meridian St Ste 210, Indianapolis, IN 46260-1828 | 2013-03-18 |
| 1730430513 | Robert Marshall Weiss | Dermatology | 6017 Benchmark-one, Floyds Knobs, IN 47119-9410 | 2012-09-20 |
| 1346597655 | Franciscan Medical Specialists | Dermatology | 757-45th Street, Ste 201, Munster, IN 46321 | 2012-08-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROGER T MOORE.
| 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.