MR. FREDERICK HENRY MOORE JR. (NPI# 1427695857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427695857 |
| Entity Type | Individual |
| Full Name | MR. FREDERICK HENRY MOORE JR. |
| Practice Address |
14000 Lakeside Cir Sterling Heights MI 48313-1320 |
| Mailing Address |
38511 Wellington Dr Clinton Township MI 48036-3520 |
| Practice Telephone | 5862606371 |
| Mailing Telephone | 5862606371 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
2701493343 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497800403 | Frederick Dm Moore | Orthopaedic Surgery | 501 Hungerford Dr Apt 461, Rockville, MD 20850-5154 | 2007-01-23 |
| 1144380643 | Frederick Ernest Moore | Family Medicine | 189 County Park Rd., Yanceyville, NC 27379 | 2006-12-12 |
| 1174708010 | Frederick Thomas Moore | Dentist | 173 Ashley Ave, Bsb 249, Charleston, SC 29425-8908 | 2008-01-09 |
| 1215157060 | Frederick Moore | Dentist | 643 Main St, Palmetto, GA 30268-1138 | 2007-04-26 |
| 1992743850 | Frederick A Moore | Surgery | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-03 |
| 1104876440 | Frederick Stephen Moore | Internal Medicine | 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 2006-05-10 |
| Street Address |
14000 LAKESIDE CIR |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48313-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435397 | Britany Lee Colonna | Technician/Technologist | 39100 Augusta Ave, Sterling Heights, MI 48313 | 2018-08-01 |
| 1871012245 | Amy Lechtenberg | Midwife | 42248 Montroy Dr, Sterling Heights, MI 48313 | 2017-09-16 |
| 1770012064 | Emily Bedy | Specialist/Technologist | 15004 Bridgeview Dr, Sterling Heights, MI 48313 | 2017-06-08 |
| 1801347174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14200 Lakeside Cir, Sterling Heights, MI 48313 | 2016-10-20 |
| 1225407653 | Diana Hill | Registered Nurse | 433361 Cape Dr, Sterling Heights, MI 48313 | 2015-09-16 |
| 1104202845 | Xhesika Tasi | Licensed Practical Nurse | 44208 Orchard Ln, Sterling Heights, MI 48313 | 2015-08-05 |
| 1740698604 | Star Behavior Consultants, LLC | Community/Behavioral Health | 12231 N York Dr, Sterling Heights, MI 48313 | 2014-07-23 |
| 1215348529 | Care Counseling Solutions LLC | Social Worker | 11945 19 Mile Rd, Sterling Heights, MI 48313 | 2014-05-09 |
| 1326462870 | Lauren Rae Gomes | Chiropractor | 13919 19 Mile Rd, Sterling Heights, MI 48313 | 2014-02-04 |
| 1760625776 | Deborah Ann Langlois | Pharmacist | 13500 19 Mile Road, Sterling Heights, MI 48313 | 2009-04-07 |
| Find all providers in zip 48313 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375915 | Derrick Darnell Gills | Specialist | 29935 Northwestern Hwy, Southfield, MI 48034-1020 | 2020-10-27 |
| 1609473511 | Laverne Denise Williams | Specialist | 19504 Steel St, Detroit, MI 48235-1240 | 2020-10-04 |
| 1619586682 | Saundranita Rezia Powe | Specialist | 5642 W Maple Rd Ste 15, West Bloomfield, MI 48322-3795 | 2020-07-27 |
| 1184232829 | Marlena Young | Specialist | 20141 Bramford St, Detroit, MI 48234-3201 | 2020-07-20 |
| 1770102725 | Nekia Morris Cutright | Specialist | 29584 Howard Ave, Madison Heights, MI 48071-2587 | 2020-04-09 |
| 1871122366 | I Am Ashley Monae Collection LLC | Specialist | 29746 Southfield Rd Ste 204, Southfield, MI 48076-2088 | 2020-04-06 |
| 1982269320 | Shaana Whiteside | Specialist | 33423 Woodward Ave, Birmingham, MI 48009-0907 | 2019-05-01 |
| 1740844943 | Daniel Herrera Iv | Specialist | 5560 State St, Saginaw, MI 48603-3496 | 2019-04-24 |
| 1578023149 | Tyrus Wright | Specialist | 27208 Southfield Rd Ste 3, Lathrup Village, MI 48076-7912 | 2019-03-21 |
| 1427516343 | Ericka Samone Lewis | Specialist | 16000 W 9 Mile Rd Ste 525, Southfield, MI 48075-4839 | 2019-03-10 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48313 |
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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.