GRETCHEN MOORE (NPI# 1578017851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578017851 |
Entity Type | Individual |
Full Name | GRETCHEN MOORE |
Credential | PA-C |
Practice Address |
4300 Londonderry Rd Harrisburg PA 17109-5317 |
Mailing Address |
409 S 2nd St Ste 2f Harrisburg PA 17104-1612 |
Practice Telephone | 7172318772 |
Practice Fax Number | 7172318435 |
Enumeration Date | 2016-08-04 |
Last Update Date | 2018-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA058337 | PA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 103183079 | 05 |
Street Address |
4300 LONDONDERRY RD |
City | HARRISBURG |
State | PA |
Zip Code | 17109-5317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649274598 | Stephanie Ann Kramer | Nurse Anesthetist, Certified Registered | 4300 Londonderry Rd, Harrisburg, PA 17109 | 2005-06-09 |
1538780515 | Kevin Matthew Nowakowski | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-05-01 |
1265053417 | James Farrell | Internal Medicine | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-29 |
1003436353 | Isaac Nivar | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-16 |
1841819588 | Christopher Ferguson | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-13 |
1679192579 | Inderpreet Singh | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-10 |
1902435373 | Timothy Warren | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-07 |
1902435340 | Cameron Park Slane | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-07 |
1295364974 | Kelly Marie Fening | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-05 |
1437788171 | Adrian Julian Lowenfeld | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
Find all providers in zip 17109 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932591260 | Denise Ann Mesaros | Physician Assistant | 5071 Bass Lake Dr Apt 2003, Harrisburg, PA 17111-5918 | 2015-02-24 |
1003128547 | Maegan E Greenwade | Physician Assistant | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2010-07-13 |
1356472799 | Jeffrey John Hollenbach | Physician Assistant | 4605 Locust Ln, Harrisburg, PA 17109-4424 | 2007-03-08 |
1598730483 | Joan Nerviano | Physician Assistant | 3601 N Progress Ave, Harrisburg, PA 17110-9100 | 2006-02-22 |
1649264268 | Marnie Irene Odonnell | Physician Assistant | 121 Nyes Rd, Harrisburg, PA 17112-3247 | 2005-09-09 |
1538791728 | Samantha Larsen | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-02-06 |
1730721523 | Michalia Amony Humphrey | Physician Assistant | 2200 Dover Rd, Harrisburg, PA 17112-1002 | 2019-10-13 |
1619438926 | Justin Lanni | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2019-03-28 |
1134672660 | Anthony J Manney | Physician Assistant | 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 | 2016-08-02 |
1790150324 | Alyssa N. Peck | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2015-12-08 |
Find all providers in HARRISBURG |
City | HARRISBURG |
Zip Code | 17109 |
Please comment or provide details below to improve the information on GRETCHEN 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.