ANNETTE M MOORE (NPI# 1609818467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609818467 |
| Entity Type | Individual |
| Full Name | ANNETTE M MOORE |
| Credential | MD |
| Practice Address |
3500 S Lafountain St Kokomo IN 46902-3803 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 7654538571 |
| Practice Fax Number | 7654538637 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01056265A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAIL ROAD PTAN | P01830736 | 01 |
| IN | 200826150 | 05 | |
| IN | RR PTAN | P01830736 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215239637 | Annette Nelalen Moore | Physical Therapy Assistant | 444 Ingle Ct, Salem, VA 24153-3936 | 2010-11-18 |
| 1922583418 | Annette M Moore | Developmental Therapist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2018-10-01 |
| 1801294061 | Annette Moore | Speech-Language Pathologist | 611 E Hill Rd, Southbury, CT 06488 | 2014-12-19 |
| 1619216165 | Annette Moore | Occupational Therapy Assistant | 10098 Bear Creek Rd, Lucasville, OH 45648-9168 | 2013-02-04 |
| 1033141155 | Annette Rene Moore | Nurse Practitioner | 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227-1000 | 2006-07-07 |
| Street Address |
3500 S LAFOUNTAIN ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023099868 | Cathy J Simms | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2005-11-09 |
| 1366043911 | Chelsea M Gustafson | Pharmacist | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2020-11-02 |
| 1700409257 | Rachelle Goddard | Registered Nurse | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2020-05-19 |
| 1144878612 | Ellman Barkley Holder | Registered Nurse | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2019-08-28 |
| 1023598307 | Alannah Scott | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2018-08-16 |
| 1487173936 | Mid America Clinical Laboratories LLC | Clinical Medical Laboratory | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-09-15 |
| 1639691413 | Ginger Ann Smith | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-07-12 |
| 1700325586 | Community Howard Regional Health, Inc | Clinic/Center | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-02-14 |
| 1760925762 | Howard Community Ambulance Service | Ambulance | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-11-22 |
| 1881054575 | Heather Hare | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265606362 | Board of Trustees of Howard Community Hospital Dr Salter | Internal Medicine | 806 S Berkley Rd, Kokomo, IN 46901-5110 | 2008-04-18 |
| 1285831339 | American Health Network of Indiana, LLC | Internal Medicine | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2007-07-02 |
| 1528260486 | American Health Network of Indiana, LLC | Internal Medicine | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2007-06-04 |
| 1124031711 | John Salter | Internal Medicine | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2006-08-14 |
| 1598779142 | Board of Trustees of Howard Community Hospital | Internal Medicine | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2006-07-28 |
| 1285654574 | Board of Trustees of Howard Community Hospital | Internal Medicine | 806 S Berkley Rd, Kokomo, IN 46901-5110 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728553 | Infusion Center of Indiana LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 | 2020-10-19 |
| 1659987832 | Vida Oncology LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 | 2020-09-22 |
| 1306256839 | Anne Catherine Meier | Internal Medicine | 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 | 2014-05-06 |
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1851697536 | Melhem Jabbour | Internal Medicine | 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 | 2011-01-28 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1710112396 | Cancer Health Treatment Centers,p.c. | Internal Medicine | 104 Woodland Ct, Michigan City, IN 46360-7390 | 2009-05-26 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1386805307 | Vivian C Cook | Internal Medicine | 3699 Epworth Road, Newburgh, IN 47630-8909 | 2008-06-23 |
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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.