CHRISTINE M. MOORE (NPI# 1609102763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609102763 |
| Entity Type | Individual |
| Full Name | CHRISTINE M. MOORE |
| Credential | AA |
| Practice Address |
18697 Bagley Rd Middleburg Heights OH 44130-3417 |
| Practice Telephone | 4408166246 |
| Practice Fax Number | 4408166263 |
| Mailing Telephone | 4408166246 |
| Mailing Fax Number | 4408166263 |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 67.000159 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3016462 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215490875 | Christine W. Moore | Nurse Practitioner | 763 E Us Highway 80 Ste 130, Forney, TX 75126-8676 | 2019-04-10 |
| 1508319955 | Christine Moore | Military Health Care Provider | 200 Michelle Ln Apt 310, Groton, CT 06340-4235 | 2016-08-02 |
| 1790148948 | Christine Ann Moore | Student in an Organized Health Care Education/Training Program | Carl A. Jones Hall, 1 Dogwood Avenue, Va Building 1, Mountain Home, TN 37684 | 2016-04-04 |
| 1407223316 | Christine Moore | Licensed Practical Nurse | 4043 Stratmore Ave, Youngstown, OH 44511-3547 | 2015-08-26 |
| 1497070676 | Christine Elizabeth Moore | Nurse's Aide | 1218 Castlebury Dr, Greencastle, IN 46135-1481 | 2010-03-31 |
| 1356670897 | Christine J Moore | Nurse Anesthetist, Certified Registered | 185 Penny Ave, East Dundee, IL 60118-1454 | 2009-12-11 |
| 1033156054 | Christine C Moore | Chiropractor | 6200 Chase Oaks Blvd, Ste 104, Plano, TX 75023-4652 | 2006-05-31 |
| 1407893431 | Christine A Moore | Nurse Practitioner | 8706 W Hillsborough Ave, Tampa, FL 33615-3705 | 2006-05-31 |
| 1740279785 | Christine Moore | Genetic Counselor, MS | 1554 Northern Blvd, Suite 204-nsuh Division of Medical Genetics, Manhasset, NY 11030-3006 | 2005-10-20 |
| 1235131574 | Christine Lee Moore | Family Medicine | 402 W Pine St, Ste K, Raymore, MO 64083-9075 | 2005-06-01 |
| Street Address |
18697 BAGLEY RD |
| City | MIDDLEBURG HEIGHTS |
| State | OH |
| Zip Code | 44130-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568124 | Laura Stasiak | Pharmacist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2020-05-04 |
| 1992326300 | Kyle Gustafson | Pharmacist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3497 | 2020-04-27 |
| 1295365088 | Hannah Blackburn | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2020-01-21 |
| 1861038077 | Rebecca Ann Pollack | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3497 | 2019-11-22 |
| 1609422138 | Kali Potopsky | Physician Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-08-12 |
| 1699335588 | James Miner | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-06-13 |
| 1871054080 | Mary Gulla | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-03-29 |
| 1629537253 | David Brian Haberman | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-03-13 |
| 1649737487 | Amanda Vitek | Nurse Practitioner | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-02-28 |
| 1356815922 | Hni Medical Services of Ohio, LLC | Internal Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699335588 | James Miner | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-06-13 |
| 1689162109 | Michael Hegarty | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2018-04-30 |
| 1629450168 | Kriste Nemanis | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2015-06-21 |
| 1871901447 | Jessica Budde | Anesthesiologist Assistant | 18697 Bagley Rd., Middleburg Heights, OH 44130 | 2014-07-28 |
| 1841622859 | Laura E. Veale | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2013-07-31 |
| 1124381256 | Oksana Kozlovskaya | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2012-06-22 |
| 1346496148 | Mary L Spencer | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2008-08-12 |
| 1346273257 | Robert M Thall | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2006-07-07 |
| 1669413464 | George S Suchy | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1902347123 | Eric Klinedinst | Anesthesiologist Assistant | 2126 Murray Hill Rd Apt 1, Cleveland, OH 44106-2339 | 2017-03-20 |
| 1568900371 | James George Davis | Anesthesiologist Assistant | 4902 Wellington Ave, Parma, OH 44134-3564 | 2017-02-01 |
| 1104276963 | Nada Tayeh | Anesthesiologist Assistant | 7831 Hickory Hill Ln, Parma, OH 44130-7664 | 2016-06-13 |
| 1821452020 | Tara Hammann | Anesthesiologist Assistant | 7115 Ludlum Rd, Morrow, OH 45152-7517 | 2016-04-13 |
| 1932588399 | Bianca Shah | Anesthesiologist Assistant | 2400 N Star Ln, Avon, OH 44011-2016 | 2015-05-19 |
| 1376949198 | Amanda Price | Anesthesiologist Assistant | 5455 N Marginal Rd, Apt. 412, Cleveland, OH 44114-3937 | 2014-11-05 |
| 1518381250 | Erin Leslie | Anesthesiologist Assistant | 2195 Auburn Avenue, Cincinnati, OH 45219-2906 | 2014-02-18 |
| 1770862500 | Colleen Dwight Traud | Anesthesiologist Assistant | 1730 W. 25th St, Cleveland, OH 44113 | 2011-08-10 |
| 1134440142 | Zachary Nearman | Anesthesiologist Assistant | 32430 Pinebrook Ln, Pepper Pike, OH 44124-5953 | 2010-06-14 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG HEIGHTS |
| Zip Code | 44130 |
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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.