J SUZANNE MOORE


Address: 303 Med Tech Pkwy Ste 200, Johnson City, TN 37604
Phone: 4237943040

J SUZANNE MOORE (NPI# 1558533760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558533760
Entity Type Individual
Full Name J SUZANNE MOORE
Credential MD
Practice Address 303 Med Tech Pkwy Ste 200
Johnson City
TN 37604
Mailing Address Po Box 699
Mountain Home
TN 37684-0699
Practice Telephone 4237943040
Practice Fax Number 4237943041
Mailing Telephone 4234336039
Mailing Fax Number 4234336060
Enumeration Date 2008-03-27
Last Update Date 2018-07-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
43330 TN Allopathic & Osteopathic Physicians
N 207RR0500X Internal Medicine
Specialization: Rheumatology
E-3235 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 148195001 05
TN Q031247 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
300 Carson St, Jonesboro, AR 724013104 8709321198 8709107700
303 Med Tech Pkwy Ste 200, Johnson City, TN 376042392 4237943040 4237943041
325 N State of Franklin Rd Fl 2, Johnson City, TN 376046092 4234397280 4234397314
4 Sheridan Sq Ste 200, Kingsport, TN 376607435 4232467931 4232461906

Other Providers J MOORE

NPI Name Taxonomy Address Enumeration
1497767792 J David Moore Psychiatry & Neurology 12 Maple Tree Ct Ste 201, Greenville, SC 29615 2006-08-13
1720068026 J Kenneth Moore Chiropractor 707 Sunset St, Denton, TX 76201-2668 2006-01-20

Office Location

Street Address 303 MED TECH PKWY STE 200
City JOHNSON CITY
State TN
Zip Code 37604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629546718 Ashley R Stewart Nurse Practitioner 303 Med Tech Pkwy Ste 200, Johnson City, TN 37604-2392 2018-11-06
1124538780 Ashley T Davis Nurse Practitioner 303 Med Tech Pkwy Ste 200, Johnson City, TN 37604-2392 2017-10-09
1720461379 Tommy A Sparks Nurse Practitioner 303 Med Tech Pkwy Ste 200, Johnson City, TN 37604 2015-07-01
1205254596 Summer L Hopson Nurse Practitioner 303 Med Tech Pkwy Ste 200, Johnson City, TN 37604 2014-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
Find all providers in zip 37604

Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083931539 Medical Specialists of Johnson City Internal Medicine 2528 Wesley St Ste 2, Johnson City, TN 37601-1766 2010-04-23
1083675706 David P Lurie Internal Medicine 106 Woodlawn Dr, Johnson City, TN 37604-5977 2006-03-31
1407141138 Rheumatology Associates P C Internal Medicine 106 Woodlawn Dr, Johnson City, TN 37604-5977 2011-06-10
1891888434 Gerald F Falasca Internal Medicine 303 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-2391 2006-10-02
1831294891 Jeffry Dwayne Bieber Internal Medicine 303 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-2391 2006-09-14
1528018520 Albertine Dewit Internal Medicine 310 N State of Franklin Rd, Suite #201, Johnson City, TN 37604 2006-05-11
1477530301 James L Baker Internal Medicine 303 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-2391 2005-12-30
1063400471 William M Wason Internal Medicine 325 N State of Franklin Rd, Johnson City, TN 37604-6062 2005-10-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043799026 American Arthritis & Rheumatology Associates Tn, Pllc Internal Medicine 6005 Park Ave Ste 409, Memphis, TN 38119-5214 2018-08-09
1316234974 Maryam Pourpaki Internal Medicine 4230 Harding Pike Ste 301, Nashville, TN 37205-2098 2011-07-05
1336460054 Mark Robin Boothby Internal Medicine Div of Rheumatology Vanderbilt Medical Ctr, T-3217 Medical Center North, 1161 21st Ave S, Nashville, TN 37232-0001 2010-06-16
1205063591 Jayne Littlejohn Crowe Internal Medicine 979 E. Third St, Suite B - 805, Chattanooga, TN 37403-2141 2009-06-15
1487880829 Syed Saquib Islam Internal Medicine University of Tennessee 910 Madison Ave Ste 1031, Memphis, TN 38163-1658 2009-05-29
1154564086 Seunghyun Kim Internal Medicine 956 Court Ave Ste G-326, Memphis, TN 38103-2814 2009-04-08
1396983524 Lizeth Jovanna Romero Internal Medicine 979 E 3rd St Ste B-805, Chattanooga, TN 37403-2136 2009-01-26
1487814166 Cecilia Pilar Chung Nakandakari Internal Medicine S 1115 Medical Center North, 1611 21st Avenue South, Nashville, TN 37232-2681 2008-06-16
1457408304 Chad Stephen Boomershine Internal Medicine Suite 2501 Tvc, 1301 22nd Ave South, Nashville, TN 37232-0001 2007-01-04
1659428548 Anne E Eyler Internal Medicine 5653 Frist Blvd Ste 630, Hermitage, TN 37076-2094 2007-01-04
Find all providers with the same taxonomy

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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