BENJAMIN E MOORE (NPI# 1558342196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558342196 |
| Entity Type | Individual |
| Full Name | BENJAMIN E MOORE |
| Credential | MD |
| Practice Address |
2 Shircliff Way Ste 925 Jacksonville FL 32204-4753 |
| Mailing Address |
Po Box 17809 Jacksonville FL 32245-7809 |
| Practice Telephone | 9043876116 |
| Practice Fax Number | 9043876118 |
| Mailing Telephone | 9043876116 |
| Mailing Fax Number | 9043876118 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2012-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME39355 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 273404400 | 05 | |
| FL | BCBS | 15663 | 01 |
| FL | RAILROAD MEDICARE | 130000327 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887096 | Benjamin J Moore | Physician Assistant | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-03-24 |
| 1427562685 | Benjamin Moore | Physical Medicine & Rehabilitation | 8301 E Prentice Ave Ste 207, Greenwood Village, CO 80111-2905 | 2017-11-27 |
| 1043668791 | Benjamin Moore | Physical Therapist | 4909 Nolensville Rd, Nashville, TN 37211-5411 | 2016-06-02 |
| 1609241819 | Benjamin Moore | Massage Therapist | 2207 N Molter Rd Ste 250, Liberty Lake, WA 99019-7582 | 2015-12-14 |
| 1992186415 | Benjamin Ross Moore | Dentist | 15 Rawls Rd, Suite 200, Angier, NC 27501-6033 | 2015-06-10 |
| 1568801504 | Benjamin Moore | Counselor | 2305 Old County Rd, Pocahontas, AR 72455-4148 | 2013-06-24 |
| 1710208848 | Benjamin Virlow Moore | Social Worker | 575 East 100 South, Price, UT 84501 | 2010-06-11 |
| 1518131754 | Benjamin C Moore | Obstetrics & Gynecology | 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 | 2008-04-18 |
| 1548459498 | Benjamin Alan Moore | Optometrist | 401 W Main St, Suite A, John Day, OR 97845-1075 | 2007-10-16 |
| 1033240981 | Benjamin R Moore | Physical Therapist | 555 East Broadway, Suite 100, Jackson, WY 83001 | 2007-03-09 |
| Street Address |
2 SHIRCLIFF WAY STE 925 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508356 | Suprith Badarinath | Internal Medicine | 2 Shircliff Way, Ste 800, Jacksonville, FL 32204-4751 | 2005-06-14 |
| 1841656105 | Rita Marie Border | Nurse Practitioner | 2 Shircliff Way, #300, Jacksonville, FL 32204-4753 | 2016-01-01 |
| 1295128817 | Alexandra Eleanor Michaelis | Nurse Practitioner | 2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204-4763 | 2015-03-05 |
| 1538558028 | Carole Faria | Registered Nurse | 2 Shircliff Way, Suite 900, Jacksonville, FL 32204-4753 | 2015-01-21 |
| 1609265107 | Teresa Braddy | Registered Nurse | 2 Shircliff Way, Suite 900, Jacksonville, FL 32204-4753 | 2015-01-21 |
| 1235533829 | Heekin Clinic LLC | Orthopaedic Surgery | 2 Shircliff Way, Ste 605 Depaul Building, Jacksonville, FL 32204-4753 | 2014-10-10 |
| 1851710404 | Juan Chique Figueroa | Internal Medicine | 2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204 | 2014-04-10 |
| 1295151348 | Harris, Wilcox & Donovan Pa | Ophthalmology | 2 Shircliff Way, Suite 120, Jacksonville, FL 32204-4753 | 2014-03-13 |
| 1568800613 | Sara Marie Preston | Nurse Practitioner | 2 Shircliff Way, Ste 700 Depaul Bldg., Jacksonville, FL 32204-4763 | 2013-06-11 |
| 1851735187 | Lori Elizabeth Jones-taylor | Pharmacist | 2 Shircliff Way, Jacksonville, FL 32204-4753 | 2013-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1437620986 | Nicole Azaan | Specialist | 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 | 2018-12-10 |
| 1598251910 | Allionz LLC | Specialist | 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 | 2018-07-09 |
| 1093236531 | Leah F Friedman | Specialist | 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 | 2017-07-06 |
| 1609301993 | Oakleaf Injury and Pain Center LLC | Specialist | 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 | 2017-04-25 |
| 1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
| 1235525239 | Elizabeth Wehr | Specialist | 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 | 2015-04-07 |
| 1053705236 | Orthowilmington, Pa | Specialist | 3382 Henderson Dr, Jacksonville, NC 28546-5230 | 2015-03-25 |
| 1295156941 | Southeast Orthopedic Specialists, Inc. | Specialist | 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | 2013-12-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
Please comment or provide details below to improve the information on BENJAMIN E 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.