TAMARA LYNN MOORE (NPI# 1497011001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497011001 |
| Entity Type | Individual |
| Full Name | TAMARA LYNN MOORE |
| Credential | M.D. |
| Practice Address |
1811 E Bert Kouns Industrial Loop Ste 140 Shreveport LA 71105-5741 |
| Mailing Address |
1501 Kings Hwy Shreveport LA 71103-4228 |
| Practice Telephone | 3182123900 |
| Practice Fax Number | 3182123945 |
| Mailing Telephone | (318) 675-8600 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD.208034 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2188852 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 Kings Hwy, Shreveport, LA 711034228 | 3186758600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801340229 | Tamara Moore | Technician, Other | 1096 Stamford Rd, Ypsilanti, MI 48198-3248 | 2016-08-15 |
| 1861831851 | Tamara Alisha Moore | Behavioral Analyst | 5720 Oakwood St, Spencer, OK 73084-8639 | 2013-06-23 |
| 1760656722 | Tamara S Moore | Speech-Language Pathologist | 4218 W Morris Hill Rd, Boise, ID 83706-1949 | 2008-04-21 |
| 1891294377 | Tamara Renese Moore | Counselor | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2018-02-09 |
| 1467973768 | Tamara Kyle Moore | Nurse Practitioner | 200 Ports Authority Dr, Mount Pleasant, SC 29464-7998 | 2017-06-28 |
| 1336673292 | Tamara L Moore | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2017-04-18 |
| 1891236642 | Tamara Moore | Counselor | 6381 Sw 10th St, North Lauderdale, FL 33068-2717 | 2017-03-13 |
| 1780091470 | Tamara Moore | Nurse Practitioner | 1610 E Camelback Rd, Phoenix, AZ 85016-3902 | 2014-07-15 |
| 1962784348 | Tamara Y Moore | Pharmacist | 101 Conley Rd, Columbia, MO 65201-6465 | 2011-09-13 |
| 1417269333 | Tamara Moore | Pharmacist | 5130 Bellaire Blvd, Bellaire, TX 77401-4003 | 2010-07-08 |
| Street Address |
1811 E BERT KOUNS INDUSTRIAL LOOP STE 140 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619311438 | Amanda Vice Haynie | Pediatrics | 2225 Line Avenue, Mid City Pediatrics, Shreveport, LA 71104 | 2013-04-23 |
| 1487913976 | Greg M Oji | Pediatrics | 2508 Bert Kouns Industrial Loop Ste 320, Shreveport, LA 71118-3154 | 2012-05-03 |
| 1316228984 | Choice Pediatrics, LLC | Pediatrics | 6930 Fern Ave, Suite 150, Shreveport, LA 71105-4100 | 2011-09-08 |
| 1598077323 | Virginia Homza Carter | Pediatrics | 909 Olive St, Shreveport, LA 71104 | 2010-07-09 |
| 1891938239 | Nicolette Humphries | Pediatrics | 2518 Bert Kouns Ind. Loop, Shreveport, LA 71118-3112 | 2009-04-15 |
| 1407042435 | Hester Suh | Pediatrics | 2709 Mackey Ln, Shreveport, LA 71118-2556 | 2007-09-24 |
| 1639203367 | Suyah M Loud | Pediatrics | 4140 Hollywood Ave, Suite B-2, Shreveport, LA 71109-7818 | 2007-03-15 |
| 1891833869 | Holliway Medical Clinic LLC | Pediatrics | 3824 Hearne Ave, Shreveport, LA 71103 | 2007-02-02 |
| 1134295520 | D Gene Mack Jr Md and Willis-knighton Medical Center | Pediatrics | 1799 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5561 | 2006-11-28 |
| 1669582052 | Wee Care Pediatrics & Kid Med Clinic | Pediatrics | 4571 N Market, Shreveport, LA 71107 | 2006-08-30 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on TAMARA LYNN 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.