GEOFFREY E. MOORE, M.D., P.C. (NPI# 1497887905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497887905 |
| Entity Type | Organization |
| Organization Name | GEOFFREY E. MOORE, M.D., P.C. |
| Other Organization Name | HEALTHY LIVING & EXERCISE MEDICINE ASSOCIATES |
| Practice Address |
310 Taughannock Blvd Suite 5b Ithaca NY 14850-3231 |
| Practice Telephone | 6072575990 |
| Practice Fax Number | 6072575973 |
| Mailing Telephone | 6072575990 |
| Mailing Fax Number | 6072575973 |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GEOFFREY E MOORE (PRESIDENT) |
| Authorized Official Telephone | 6072575990 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
227508-01 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CDPHP GROUP #J168 | 10077558 | 01 |
| NY | WORKER'S COMP | 227508-9W | 01 |
| NY | HEALTH NOW | 000927628004 | 01 |
| NY | GHI HMO | 000000076465 | 01 |
| NY | GHI PPO & CMP | 2592101 | 01 |
| NY | MVP | 363245 | 01 |
| Other Name | Type Code |
|---|---|
| Healthy Living & Exercise Medicine Associates | Doing Business As Name - Organization |
| Street Address |
310 TAUGHANNOCK BLVD SUITE 5B |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088073 | Kyle R Adams | Physical Therapist | 310 Taughannock Blvd, Suite 1c, Ithaca, NY 14850 | 2005-07-28 |
| 1609409358 | Devan Alexander Shambo | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2020-02-20 |
| 1477054732 | Kathy Eliason | Registered Nurse | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2018-02-22 |
| 1194226456 | Jamie Balas | Health Educator | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2018-02-22 |
| 1447765706 | Joseph Ricotta | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-12-08 |
| 1225542673 | Anthony Albert Spinelli | Specialist/Technologist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-11-21 |
| 1184136863 | Nicole Humpf | Specialist/Technologist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-11-02 |
| 1497271167 | Krista Ali Fedorchak | Dietitian, Registered | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-08-15 |
| 1083137418 | Christine Marie Feely | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-07-18 |
| 1598202418 | Natalie Pape | Dietitian, Registered | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 |
|---|---|---|---|---|
| 1033730148 | Pjp Medical Pllc | Internal Medicine | 489 Atlantic Ave, Brooklyn, NY 11217-2985 | 2020-04-29 |
| 1609287572 | Morgan Anderson Busko | Internal Medicine | 51 W 51st St Ste 370, New York, NY 10019-1918 | 2014-05-14 |
| 1467677815 | Merritt Fuller Spear I | Internal Medicine | State University New York, 1010 Broad St, Plattsburgh, NY 12901 | 2007-04-13 |
| 1548382831 | Station Physical Therapy | Internal Medicine | 10 E 33rd Street, 2nd Floor, New York, NY 10016 | 2007-04-06 |
| 1043352982 | Scott Adam Weiss | Internal Medicine | 1800 Walt Whitman Rd Ste 120, Melville, NY 11747 | 2007-02-13 |
| 1619032794 | Richard E Greene | Internal Medicine | 227 Madison St Fl 4, Gouverneur Healthcare Services, New York, NY 10002-7537 | 2006-12-27 |
| 1659449353 | Jeffrey Delson | Internal Medicine | 7 Gay St, New York, NY 10014-3536 | 2006-12-01 |
| 1548338411 | Irwin Abraham | Internal Medicine | 206a E. 30th St., New York, NY 10016-8202 | 2006-12-01 |
| 1538250568 | Nanuet Medical Services, P.C. | Internal Medicine | 7 College Avenue, Nanuet, NY 10954 | 2006-09-27 |
| 1710991765 | Sheryl Lynn Wulkan | Internal Medicine | 2 Prohealth Ave, Lake Success, NY 11042 | 2006-07-27 |
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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.