ANTHONY ALLEN MOORE (NPI# 1497901029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497901029 |
| Entity Type | Individual |
| Full Name | ANTHONY ALLEN MOORE |
| Credential | PA |
| Practice Address |
4215 Edgewater Dr Orlando FL 32804-2206 |
| Mailing Address |
695 Us Highway 46 Ste 400a Fairfield NJ 07004-1568 |
| Practice Telephone | 8555827747 |
| Practice Fax Number | 8889724761 |
| Mailing Telephone | (973) 894-1265 |
| Mailing Fax Number | 8889726480 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2017-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAT9104697 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | QSS SCS PTAN | BJ031X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154985 | Anthony Moore Jr. | Chore Provider | 640 Delaware St, Detroit, MI 48202-2498 | 2016-10-13 |
| 1215313135 | Anthony Moore | Counselor | 7931 Penn Randall Pl, Suite D3, Upper Marlboro, MD 20772-2666 | 2015-08-03 |
| 1740673466 | Anthony Moore | Ophthalmology | 10 Koret Way K 304a, San Francisco, CA 94143-0001 | 2015-03-05 |
| 1609163922 | Anthony Moore | Physical Therapist | 1410 Sw Tradition Dr Ste 290, Ankeny, IA 50023 | 2011-07-07 |
| 1710901533 | Anthony B Moore | Psychologist | 3333 W Kennedy Blvd Ste 104, Tampa, FL 33609-2952 | 2006-07-26 |
| 1982600953 | Anthony Ray Moore | Pharmacist | 1311 Old Courthouse Sq, Martinsburg, WV 25404 | 2005-06-24 |
| 1265079222 | Anthony Duane Moore Jr. | Case Manager/Care Coordinator | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2019-12-09 |
| 1902355258 | Anthony Moore | Community Health Worker | 344 E 100 S, Ste 301, Salt Lake City, UT 84111-1700 | 2016-09-28 |
| 1871041855 | Anthony Moore | Case Manager/Care Coordinator | 3180 Newberry Dr, Ste 100, San Jose, CA 95118-1564 | 2016-09-19 |
| 1275693806 | Anthony V Moore | Specialist | 950 N Federal Hwy, Suite 207, Pompano Beach, FL 33062-4315 | 2006-12-12 |
| Street Address |
4215 EDGEWATER DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022239 | John Leslie Steele | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2005-09-06 |
| 1518369578 | Brett Young | Specialist/Technologist, Other | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2014-09-22 |
| 1740521137 | Qss-southeast Clinical Services LLC | Surgery | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2013-03-08 |
| 1972844660 | Nicole Moskal | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2013-03-06 |
| 1083968820 | Denise Livingston | Nurse Practitioner | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2012-11-01 |
| 1932456985 | William Lee Earp IIi | Specialist/Technologist, Other | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2012-08-09 |
| 1689964462 | Katrina J Smith | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2011-04-13 |
| 1518160779 | Stephen E Mcnally Sr. | Specialist | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2007-06-06 |
| 1295876969 | Gueorgui T Maltchev | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2007-02-08 |
| 1972653160 | Diana K Marl | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1609473594 | Arianna Piza Cueva | Physician Assistant | 1617 Lake Baldwin Ln, Orlando, FL 32814-6745 | 2020-10-05 |
| 1679189153 | Lynnzie Marie Kipp | Physician Assistant | 6427 Westwood Blvd Unit 100, Orlando, FL 32821-8311 | 2020-09-20 |
| 1396368189 | Katharine Mcmanus | Physician Assistant | 6137 Jibway Ct, Orlando, FL 32807-2909 | 2020-05-27 |
| 1124651328 | Kayleigh E Hunt | Physician Assistant | 86 W Copeland Dr, Orlando, FL 32806-2002 | 2020-02-16 |
| 1326679093 | Hae Jeung | Physician Assistant | 1713 Circe Lake Ct, Orlando, FL 32826-4645 | 2020-01-30 |
| 1902445844 | Christina Pagan | Physician Assistant | 2014 S Orange Ave # 200b, Orlando, FL 32806-3069 | 2019-12-23 |
| 1154969335 | Shahed Hmeidan | Physician Assistant | 2624 Clementon Park Ct, Orlando, FL 32835-6160 | 2019-12-18 |
| 1609414143 | Amber Grimm | Physician Assistant | 2144 Bristol Grande Way, Orlando, FL 32820-2781 | 2019-12-16 |
| 1255976213 | Katherine Mary Vanhove | Physician Assistant | 1310 E Esther St, Orlando, FL 32806-4128 | 2019-11-14 |
| Find all providers in ORLANDO | ||||
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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.