DR. MICHELINE MOORE (NPI# 1568840940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568840940 |
| Entity Type | Individual |
| Full Name | DR. MICHELINE MOORE |
| Other Name | MICHELINE GOULART |
| Credential | M.D. |
| Practice Address |
University of Tennessee 910 Madison Ave Ste 1031 Memphis TN 38163-0001 |
| Practice Telephone | 9104487635 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
UNIVERSITY OF TENNESSEE 910 MADISON AVE STE 1031 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38163-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487880829 | Syed Saquib Islam | Internal Medicine | University of Tennessee 910 Madison Ave Ste 1031, Memphis, TN 38163-1658 | 2009-05-29 |
| 1285011643 | Vinh Duong | Student in an Organized Health Care Education/Training Program | University of Tennessee 910 Madison Ave Ste 1031, Memphis, TN 38163-0001 | 2015-05-05 |
| 1689084352 | Gini Biko Ikwuezunma | Student in an Organized Health Care Education/Training Program | University of Tennessee 910 Madison Ave Ste 1031, Memphis, TN 38163-0001 | 2014-05-05 |
| 1780024570 | Ethanjaron Hoppe | Student in an Organized Health Care Education/Training Program | University of Tennessee 910 Madison Ave Ste 1031, Memphis, TN 38163-0001 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
| 1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
| 1700362613 | Ibrahim Ortanca | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 | 2018-07-13 |
| 1619469103 | Julia Christine Cook | Student in an Organized Health Care Education/Training Program | University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 | 2018-05-31 |
| 1104359058 | Malik Fakhar | Student in an Organized Health Care Education/Training Program | 960 Madison Ave, 447, Memphis, TN 38163 | 2017-04-07 |
| 1215319322 | Yousef Abdel-aziz | Student in an Organized Health Care Education/Training Program | 956 Court Avenue Suite G310b, Memphis, TN 38163 | 2015-06-25 |
| 1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
| 1952789430 | Mark Iltis | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 | 2015-05-15 |
| 1700129780 | Mohammad Elballat | Student in an Organized Health Care Education/Training Program | 956 Court Ave Suite H314a, Memphis, TN 38163 | 2013-03-28 |
| 1932468204 | Evan Neal Paul | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue, Suite 1031, Memphis, TN 38163 | 2012-05-08 |
| Find all providers in zip 38163 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252013 | Rhaina Johnson | Student in an Organized Health Care Education/Training Program | 2639 Central Ave Apt V1, Memphis, TN 38104-5954 | 2020-07-20 |
| 1821606021 | Stephanie Bell | Student in an Organized Health Care Education/Training Program | 5091 Windcrest Rd, Memphis, TN 38116-8526 | 2020-07-14 |
| 1245857077 | Melissa Rodriguez Analco | Student in an Organized Health Care Education/Training Program | 4343 Emily Ave, Memphis, TN 38122-4822 | 2020-06-27 |
| 1316564321 | Piper Black | Student in an Organized Health Care Education/Training Program | Uthsc College of Nursing 920 Madison Avenue, Memphis, TN 38163-0001 | 2020-06-26 |
| 1225654726 | Karen Y Wilson | Student in an Organized Health Care Education/Training Program | The University of Tennessee Health Science Center, 920 Madison Ave., Memphis, TN 38163-4774 | 2020-06-19 |
| 1881216356 | Asif Jamal | Student in an Organized Health Care Education/Training Program | 865 Jefferson Ave Ste F150, Memphis, TN 38103-2807 | 2020-05-07 |
| 1992325468 | Zebin Mohammad Al Zebin | Student in an Organized Health Care Education/Training Program | 288 Night Sail Dr S Apt 107, Memphis, TN 38103-1724 | 2020-04-24 |
| 1922627637 | Krystal Lugo | Student in an Organized Health Care Education/Training Program | 3940 Summer Breeze Cv, Memphis, TN 38125-2840 | 2020-04-13 |
| 1336768092 | Preeti Singh | Student in an Organized Health Care Education/Training Program | 853 Jefferson Chandler F150, Memphis, TN 38163-0001 | 2020-04-13 |
| 1588283410 | Elizabeth Chandler Lee | Student in an Organized Health Care Education/Training Program | 545 Club Walk, Memphis, TN 38111-3200 | 2020-04-10 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on DR. MICHELINE 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.