DR. MELINDA BETH MOORE (NPI# 1508003849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508003849 |
| Entity Type | Individual |
| Full Name | DR. MELINDA BETH MOORE |
| Credential | DPM |
| Practice Address |
807 S Division St Carterville IL 62918-1528 |
| Practice Telephone | 6189853338 |
| Practice Fax Number | 6189853338 |
| Mailing Telephone | 6189853338 |
| Mailing Fax Number | 6189853339 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005343 | IL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3022 S Park Ave, Herrin, IL 629483721 | 8473028115 | 6189423336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1003442419 | Melinda Moore | Nurse Practitioner | 6332 Summerwood Dr E, Puyallup, WA 98373-5005 | 2020-03-17 |
| 1235466012 | Melinda Lou Moore | Massage Therapist | 16313 S Tamiami Trl, Fort Myers, FL 33908-5326 | 2009-11-16 |
| 1174771737 | Melinda Beth Moore | Psychologist | 15521 Midlothian Turnpike, Suite 105, Midlothian, VA 23114 | 2008-09-08 |
| 1891358453 | Melinda Moore | Counselor | 5945 Sawmill Rd Unit B, Dublin, OH 43017-1623 | 2019-04-19 |
| 1497146484 | Melinda Moore | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-11 |
| 1932304151 | Melinda Moore | Counselor | 107 S High St, Antlers, OK 74523-3818 | 2007-06-18 |
| 1316095490 | Melinda Jane Moore | Nurse Practitioner | 430 W Napa St Ste F, Sonoma, CA 95476-6545 | 2007-01-08 |
| Street Address |
807 S DIVISION ST |
| City | CARTERVILLE |
| State | IL |
| Zip Code | 62918-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881823623 | Family Foot and Ankle Center of Southern Illinois LLC | Podiatrist | 807 S Division St, Carterville, IL 62918-1528 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670298 | Sherrie Ann Harlow | Social Worker | 117 Jeremy Drive, Caterville, IL 62918 | 2020-05-14 |
| 1457879330 | Alex M Witcher | Registered Nurse | 307 Pennsylvania Ave, Carterville, IL 62918 | 2017-08-31 |
| 1841650736 | Celena Lowes | Nurse Practitioner | 900 Logan College Road, Carterville, IL 62918 | 2016-03-04 |
| 1063895365 | Alexander J Ashby | Chiropractor | 1027 South Division Street, Carterville, IL 62918 | 2015-07-06 |
| 1902245095 | The H Group Bbt | Community/Behavioral Health | 403 Commerce Drive, Carterville, IL 62918 | 2013-06-21 |
| 1831311224 | Dental Professionals of Illinois, P.C. | Dentist | 809 South Division, Carterville, IL 62918 | 2007-05-03 |
| 1306067657 | Irene E. Knight | Speech-Language Pathologist | 122 Jeremy Drive, Carterville, IL 62918 | 2007-05-02 |
| 1104987940 | Solutions Counseling & Education Inc | Counselor | 209 W Commercial Dr, Suite H, Carterville, IL 62918 | 2006-12-13 |
| 1023078797 | Deepak Malhotra | Internal Medicine | 1400 Pin Oak Drive, Carterville, IL 62918 | 2006-03-25 |
| 1700373438 | Laboratory Corporation of America | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918 | 2018-04-18 |
| Find all providers in zip 62918 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881823623 | Family Foot and Ankle Center of Southern Illinois LLC | Podiatrist | 807 S Division St, Carterville, IL 62918-1528 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
| City | CARTERVILLE |
| Zip Code | 62918 |
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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.