MR. PAUL BENJAMIN MOORE (NPI# 1457906737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457906737 |
| Entity Type | Individual |
| Full Name | MR. PAUL BENJAMIN MOORE |
| Credential | MSN, APRN, CPNP |
| Practice Address |
1 Perkins Sq Akron OH 44308-1063 |
| Practice Telephone | 3305438050 |
| Practice Fax Number | 3305438054 |
| Mailing Telephone | 3305438050 |
| Mailing Fax Number | 3305438054 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | APRN.CNP.025361 | OH | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.025361 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649661356 | Paul Lloyd Moore | Social Worker | 516 Ravenwood Dr, Indian Land, SC 29707-9690 | 2015-02-17 |
| 1558782995 | Paul Moore | Counselor | 900 S Giddings St., Visalia, CA 93277 | 2014-01-03 |
| 1639238264 | Paul T Moore | Dentist | 306 South Shady Ave., Damascus, VA 24236 | 2006-12-08 |
| 1912092156 | Paul Terrence Moore | Specialist | 8722 Greenville Ave, Bldg. E Suite 102, Dallas, TX 75243-7167 | 2006-10-04 |
| 1326002023 | Paul E Moore | Family Medicine | 110 3rd St Ste 250, Henderson, KY 42420-5802 | 2006-04-12 |
| 1417945700 | Paul Derek Moore | Family Medicine | 815 Cumberland St, Suite 205, Lebanon, PA 17042-5266 | 2005-10-11 |
| 1356841118 | Paul Edward Moore | Psychologist | 1221 Abrams Rd Ste 325, Richardson, TX 75081-5579 | 2018-02-19 |
| 1942688981 | Paul Moore | Nurse Anesthetist, Certified Registered | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-05-11 |
| 1659717163 | Paul Moore | Nutritionist | 108 Doctors Dr, Boone, NC 28607-5000 | 2013-05-13 |
| 1194065854 | Paul H Moore | Physical Therapy Assistant | 401 W Martintown Rd, Suite 169, North Augusta, SC 29841-3186 | 2013-02-18 |
| Street Address |
1 PERKINS SQ |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216468 | Kerry Leone-quisenberry | Nurse Anesthetist, Certified Registered | 1 Perkins Sq, Akron, OH 44308-1063 | 2005-06-21 |
| 1639778681 | Megan Susanne Foster | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-10-21 |
| 1639781800 | Danielle Marie Standohar | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-19 |
| 1548872039 | Brooke N Phillips | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-18 |
| 1609494517 | Angela Marie Corsi | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-07-07 |
| 1124647516 | Marisa M Mancuso | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-15 |
| 1235768870 | Elizabeth Suzanne Mcinturf | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-06 |
| 1447889142 | Kaitlin Minotti | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1062 | 2020-04-04 |
| 1790314813 | Spencer Jeffrey Gasser | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-02 |
| 1992334080 | Rachel Worth | Registered Nurse | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589987 | James D Cooper | Nurse Practitioner | 224 W Exchange St Ste 330, Akron, OH 44302 | 2018-05-24 |
| 1124526280 | Shannon Jackson | Nurse Practitioner | 850 Independence Ave, Akron, OH 44310-2541 | 2018-01-24 |
| 1508305392 | Tracie Fitch | Nurse Practitioner | 3043 Sanitarium Rd Ste 1, Akron, OH 44312-4600 | 2017-02-14 |
| 1245789676 | Bridgett Mary Hoover | Nurse Practitioner | 265 Portage Trail Ext. West, Suite 200, Akron, OH 44223-3613 | 2016-09-27 |
| 1831573799 | Sara L Grater | Nurse Practitioner | 701 White Pond Dr Ste 300, Akron, OH 44320-1193 | 2015-07-10 |
| 1841601572 | M. Amber Karsian | Nurse Practitioner | 26861 Hwy 34, Akron, CO 80720 | 2014-05-15 |
| 1699114801 | Summa Physicians Inc | Nurse Practitioner | 75 Arch St Ste 401, Akron, OH 44304-1433 | 2013-06-20 |
| 1316225667 | April Jordan | Nurse Practitioner | 1 Akron General Ave Bldg 3015th, Akron, OH 44307-2432 | 2011-08-03 |
| 1023263258 | Summa Physicians Inc | Nurse Practitioner | 525 E Market St Ste 400, Akron, OH 44304-1619 | 2008-12-02 |
| 1053569624 | Ruth Anna Youssefi | Nurse Practitioner | 215 W Bowery St Ste 3500, Akron, OH 44308-1024 | 2008-09-08 |
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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.