PATRICK MICHAEL MOORE (NPI# 1518022458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518022458 |
| Entity Type | Individual |
| Full Name | PATRICK MICHAEL MOORE |
| Credential | ACSW, LCSW |
| Practice Address |
1700 E 38th St Marion IN 46953-4568 |
| Practice Telephone | 7656743321 |
| Practice Fax Number | 7656775115 |
| Mailing Telephone | 7656743321 |
| Mailing Fax Number | 7656775115 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
34001741 | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS | 000000328198 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740617968 | Patrick Joseph Moore | Anesthesiology | 5500 State Road 111, New Albany, IN 47150-9009 | 2013-10-02 |
| 1720338890 | Patrick James Moore | Massage Therapist | 109 S Summit Ave, Bremerton, WA 98312-4119 | 2012-09-14 |
| 1598068595 | Patrick W Moore | Counselor | 5150 Penn Avenue, Pittsburgh, PA 15224-1626 | 2010-12-13 |
| 1811168610 | Patrick Seth Moore | Pharmacist | 220 E Crestwood Ct, Gallup, NM 87301-7120 | 2008-03-19 |
| 1871653899 | Patrick Moore | Dentist | 21970 Bulverde Rd Ste 100, San Antonio, TX 78259-2179 | 2006-12-11 |
| 1487725487 | Patrick Dale Moore | Chiropractor | 8258 Rockville Road, Indianapolis, IN 46214-0000 | 2006-11-13 |
| 1811066046 | Patrick Michael Moore | Dentist | 2232 St Clair Ave, East Liverpool, OH 43920-1437 | 2006-11-06 |
| 1497789036 | Patrick Brett Moore | Dentist | 6340 N Chatham Ave, Kansas City, MO 64151-2473 | 2006-07-10 |
| 1558321505 | Patrick Daniel Moore | Podiatrist | 3811 29th Ave, Ste3, Kearney, NE 68845-1280 | 2006-03-24 |
| 1982604419 | Patrick Devincent Moore | Family Medicine | 3414 Moss St, Suite F&g, Lafayette, LA 70507-6107 | 2005-07-27 |
| Street Address |
1700 E 38TH ST |
| City | MARION |
| State | IN |
| Zip Code | 46953-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690055 | Alexis Miguel Echevarria-vargas | Physical Medicine & Rehabilitation | 1700 E 38th St, Marion, IN 46953-4568 | 2005-06-22 |
| 1780299438 | Malinee Sue Swihart | Physical Therapist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-10 |
| 1336753235 | Lana L Skelton | Counselor | 1700 E 38th St, Building 124, Room 222, Marion, IN 46953 | 2020-09-08 |
| 1245844380 | Tiffany Clark | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-05 |
| 1679183982 | Adam M Smith | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-08-03 |
| 1770192684 | Matthew T Bajor | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-07-27 |
| 1619594934 | Gary L Hite Jr. | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-07-02 |
| 1801412804 | Amanda Diane Wisener | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-06-25 |
| 1710503719 | Ana Maria Vargas | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-06-25 |
| 1669018594 | Marybeth Pecina | Dietitian, Registered | 1700 E 38th St, Marion, IN 46953-4568 | 2019-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346577 | Gwendolyn Reeves | Counselor | 54 College Dr, Marion, NC 28752-8728 | 2020-04-27 |
| 1154816296 | Billy Gene Sheehan | Counselor | 46 Marquette Dr Ste 2, Marion, NC 28752-6680 | 2018-06-29 |
| 1932602034 | Anquinett Burnett | Counselor | 551 Burma Rd W, Marion, NC 28752-5583 | 2018-03-14 |
| 1437664521 | Jenifer Joy Aronson | Counselor | 1122 W 3rd St, Marion, IN 46952-3667 | 2017-12-11 |
| 1487163572 | Ivery Davis | Counselor | Pee Dee Mental Health, Marion Clinic, 1100 S. Main St., Marion, SC 29571-2957 | 2017-09-21 |
| 1497274468 | Shirley Lee Johnson | Counselor | 480 Saint Paul Church Rd, Marion, LA 71260-4835 | 2017-09-11 |
| 1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
| 1205294717 | Leah Rachelle Kelley | Counselor | 1780 Lytle Mountain Rd, Marion, NC 28752-8488 | 2016-01-29 |
| 1205209715 | Lutheran Social Services of Il | Counselor | 102 E Deyoung St Ste B, Marion, IL 62959-2724 | 2015-11-05 |
| 1366827149 | Wendy Jill Owens | Counselor | 201 Converse Rd, Marion, MA 02738-1703 | 2015-07-22 |
| Find all providers in MARION | ||||
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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.