DR. THOMAS C MOORE (NPI# 1386621092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386621092 |
| Entity Type | Individual |
| Full Name | DR. THOMAS C MOORE |
| Credential | M.D. |
| Practice Address |
830 Harrison Ave Moakley, 2nd Floor Boston MA 02118-2905 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118 |
| Practice Telephone | 6176386525 |
| Practice Fax Number | 6176387448 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2014-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 213436 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
213436 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110033140A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700410081 | Thomas Earl Moore | Nurse Practitioner | 5575 Dana Dr, Ashland, KY 41102-9647 | 2020-02-26 |
| 1760923775 | Thomas Moore II | Physical Therapist | 5100 Paschall Dr, Durham, NC 27705-8534 | 2017-03-10 |
| 1437509429 | Thomas Anthony Moore | Occupational Therapist | 180 Thompson Rd, Crossville, TN 38571-0755 | 2016-06-21 |
| 1871970194 | Thomas Edward Moore | Counselor | 3937 S St Se Apt A8, Washington, DC 20020-1009 | 2015-05-06 |
| 1184039364 | Thomas Moore | Psychologist | 169 Libbey Industrial Pkwy Fl 2, Weymouth, MA 02189-3101 | 2014-06-25 |
| 1821372087 | Thomas Lowell Moore | Counselor | 1711 Hermitage Dr, Florence, AL 35630-2517 | 2011-10-06 |
| 1457537896 | Thomas L Moore | Counselor | 310 E. Lake St., Tom Moore, Mccall, ID 83638 | 2008-01-16 |
| 1376740126 | Thomas Moore Jr. | Social Worker | 2630 Skylark Rd, Wilmington, DE 19808-1634 | 2007-06-27 |
| 1013123561 | Thomas Marion Moore | Pharmacist | 4305 Peninsula Pt, Greenville, NC 27834-0520 | 2007-05-14 |
| 1164580221 | Thomas James Moore | Family Medicine | 99 E Carmel Drive, Suite E, Carmel, IN 46032 | 2006-12-04 |
| Street Address |
830 HARRISON AVE MOAKLEY, 2ND FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937436 | Minh Tam Truong | Radiology | 830 Harrison Ave, Moakley Building Ll100, Boston, MA 02118 | 2005-10-28 |
| 1457950131 | Maggie Ruderman | Genetic Counselor, MS | 830 Harrison Ave, Boston, MA 02118-2905 | 2020-10-22 |
| 1760096606 | Fabio Petrocca | Student in an Organized Health Care Education/Training Program | 830 Harrison Ave, Boston, MA 02118-2905 | 2020-09-08 |
| 1801447495 | Kailey Vitale | Speech-Language Pathologist | 830 Harrison Ave, Boston, MA 02118-2905 | 2019-09-25 |
| 1437718228 | Kayla Mcdonald | Physician Assistant | 830 Harrison Ave, Moakley, Suite 3400, Boston, MA 02118 | 2019-06-06 |
| 1154984888 | Elizabeth Tiani | Nurse Practitioner | 830 Harrison Ave, Boston, MA 02118 | 2019-04-18 |
| 1669938981 | Lynsie Rae Adams | Nurse Practitioner | 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 | 2019-02-11 |
| 1548754385 | Lisa Jiyoung Kim | Nurse Practitioner | 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 | 2018-06-15 |
| 1891226650 | Navid Alavi | Internal Medicine | 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 | 2017-03-23 |
| 1952842189 | Samuel Rubin | Otolaryngology | 830 Harrison Ave, 1st Floor, Boston, MA 02118-2905 | 2017-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1194366849 | Halpert Medical LLC | Internal Medicine | 27 Pier 7, Boston, MA 02129-4226 | 2019-10-03 |
| 1861913881 | Aymeric Becq | Internal Medicine | 330 Brookline Avenue, Dana 603, Boston, MA 02215 | 2017-06-29 |
| 1386019503 | Boston Food Allergy Center LLC | Internal Medicine | 65 Harrison Ave Ste 201, Boston, MA 02111-1924 | 2015-12-14 |
| 1477996650 | William Thomas Clarke | Internal Medicine | 330 Brookline Ave # Rabb400, Boston, MA 02215-5400 | 2013-04-08 |
| 1487908141 | Jose Manuel Mella | Internal Medicine | 330 Brookline Ave Da 501, East Campus, Beth Israel Deaconess Medical Center, Boston, MA 02215-5403 | 2012-11-02 |
| 1003169327 | Rong J Guan, Md LLC | Internal Medicine | 30 Kneeland St Fl 5, Boston, MA 02111-1528 | 2012-10-24 |
| 1043479587 | Vilas R Patwardhan | Internal Medicine | 110 Francis St, Suite 8e, Beth Israel Deaconess Medical Center, Boston, MA 02215 | 2008-06-09 |
| 1639378789 | Alan Colm Moss | Internal Medicine | 725 Albany St Ste 6b, Boston, MA 02118-3549 | 2007-07-17 |
| 1508080060 | Daisy De-peralta-daly | Internal Medicine | 389 Commonwealth Ave, Boston, MA 02115-1802 | 2007-04-13 |
| 1043306558 | Harry T Anastopoulos | Internal Medicine | 110 Francis St Suite 8e, Boston, MA 02215 | 2006-10-04 |
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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.