DR. RONALD BARRY MOORE (NPI# 1578805123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578805123 |
| Entity Type | Individual |
| Full Name | DR. RONALD BARRY MOORE |
| Credential | FNP-BC, PMHNP-BC |
| Practice Address |
101 W Cooperative Way Ste 110 Georgetown TX 78626-8209 |
| Mailing Address |
2109 Monticello Ct Round Rock TX 78665-5021 |
| Practice Telephone | 5125353777 |
| Practice Fax Number | 5127659153 |
| Mailing Telephone | 5125353777 |
| Mailing Fax Number | 5127659153 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
555197 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
555197 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Hillcrest Dr, Waco, TX 767083120 | 2543420222 | 2543420202 |
| 8700 Menchaca Rd Ste 601-602, Austin, TX 787485371 | 5125353583 | 5127659153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697236 | Ronald Carl Moore IIi | Specialist/Technologist | 208 Shivers Run Ct, Mullica Hill, NJ 08062-4732 | 2019-03-08 |
| 1942600267 | Ronald Edwin Moore | Pharmacist | 13906 Hootsell Ct, Baton Rouge, LA 70816-2719 | 2014-08-25 |
| 1487930210 | Ronald Craig Moore | Counselor | 525 S 13th St, Las Vegas, NV 89101-7203 | 2011-10-25 |
| 1801009808 | Ronald Eric Moore | Chiropractor | 137 Hughes Rd, Madison, AL 35758-1109 | 2007-05-07 |
| 1184741936 | Ronald J Moore | Chiropractor | 206 W First Street, Suite G, Deer Park, WA 99006 | 2007-03-26 |
| 1417098674 | Ronald Moore | Dentist | 25835 Barton Rd Ste 104, Loma Linda, CA 92354 | 2007-02-09 |
| 1316902679 | Ronald Jason Moore | Physician Assistant | 3310 Waterman Way, Tavares, FL 32778-5250 | 2006-04-19 |
| 1801402136 | Ronald Pete Moore | Physical Therapy Assistant | 2312 S Dixon Rd, Kokomo, IN 46902-6401 | 2020-09-22 |
| 1487079133 | Ronald R Moore | Dentist | 11012 N Radio Station Rd, Seneca, SC 29678-1142 | 2014-03-04 |
| 1114367646 | Ronald Lynn Moore Sr. | Behavioral Analyst | 5720 Oakwood St, Spencer, OK 73084-8639 | 2013-06-28 |
| Street Address |
101 W COOPERATIVE WAY STE 110 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-8209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538534086 | Psych Dimensions Inc | Family Medicine | 101 W Cooperative Way Ste 110, Georgetown, TX 78626-8209 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274942 | Amanda Leigh Chappell | Nurse Practitioner | 30618 Saint Andrews Dr, Georgetown, TX 78628-1245 | 2020-01-23 |
| 1639650831 | Amanda Dawn Jarvis | Nurse Practitioner | 804 Mohegan Trl, Georgetown, KY 40324-1016 | 2018-08-24 |
| 1841554623 | Bobbi Jo Poston | Nurse Practitioner | 106 Parker Pl, Georgetown, KY 40324-9133 | 2012-06-27 |
| 1073168738 | Sun Behavioral Delaware, LLC | Nurse Practitioner | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2019-08-08 |
| 1568931244 | Eunice Mwaura | Nurse Practitioner | 2423 Williams Dr Ste 108, Georgetown, TX 78628-3269 | 2018-11-25 |
| 1255817896 | Monika Adamaszek | Nurse Practitioner | 711 N College St, Georgetown, TX 78626-4105 | 2018-07-17 |
| 1235630427 | Candice Schrodetzki | Nurse Practitioner | 700 Se Inner Loop, Georgetown, TX 78626 | 2018-02-23 |
| 1619488764 | Peter Dioh Musu | Nurse Practitioner | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2017-10-17 |
| 1891213179 | Sun Behavioral Delaware, LLC | Nurse Practitioner | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2017-09-06 |
| 1336661974 | Marc Ernest Biala | Nurse Practitioner | 700 Se Inner Loop, Georgetown, TX 78626 | 2017-07-14 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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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.