DR. ILENE RUBOWITZ MOORE (NPI# 1659331445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659331445 |
Entity Type | Individual |
Full Name | DR. ILENE RUBOWITZ MOORE |
Credential | MD |
Practice Address |
895 7th St E Saint Paul MN 55106-3871 |
Mailing Address |
153 Cesar Chavez St Saint Paul MN 55107-2226 |
Practice Telephone | 6516027500 |
Practice Fax Number | 6516027580 |
Mailing Telephone | 6516027500 |
Mailing Fax Number | 6516027580 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2018-09-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 45291 | MN | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 100406 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 913119100 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
324 E 35th St, Minneapolis, MN 554084580 | 6128277181 | 6128276403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891882924 | Ilene Moore | Family Medicine | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
Street Address |
895 7TH ST E |
City | SAINT PAUL |
State | MN |
Zip Code | 55106-3871 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285244616 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 895 7th St E, Saint Paul, MN 55106-3871 | 2020-07-31 |
1568920346 | Tracy Ann Schrantz | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-11 |
1720546526 | Susan L Sanches | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-11 |
1760940530 | Lois Ann Berndt | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-11 |
1962960997 | Lynn Ruth Anderson | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-08 |
1013471242 | Abagael Marie Snyder | Nurse Practitioner | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-01-22 |
1306318365 | Caitlin Yvonne Strand | Pharmacist | 895 7th St E, Saint Paul, MN 55106-3871 | 2018-12-31 |
1730531633 | Kauchee Vang | Pharmacist | 895 7th St E, Saint Paul, MN 55106-3871 | 2016-07-05 |
1043670144 | Emily Rumsey | Advanced Practice Midwife | 895 7th St E, Saint Paul, MN 55106-3871 | 2016-03-02 |
1932586419 | Peter Meyers | Family Medicine | 895 7th St E, Saint Paul, MN 55106-3871 | 2015-05-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
Find all providers in zip 55106 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316178866 | Ann Giese | Pediatrics | 1230 Saint Clair Ave, Saint Paul, MN 55105-2817 | 2009-07-31 |
1134225535 | Mary Josepha Pohl | Pediatrics | 540 Cedar St, Mn Dept Human Services 64984, Saint Paul, MN 55101-2208 | 2006-09-15 |
1508870239 | Christine Huberty | Pediatrics | 2940 Snelling Ave N, Saint Paul, MN 55113-1413 | 2006-07-28 |
1083694046 | Richard Louis Baron | Pediatrics | 1804 7th St W, Suite 200, Saint Paul, MN 55116-2300 | 2006-01-18 |
1932183167 | Jennifer W Gobel | Pediatrics | 1880 Livingston Ave, Ste 102, Saint Paul, MN 55118-3425 | 2005-12-01 |
1093714040 | Kent W Wegmann | Pediatrics | 347 Smith Ave N, Saint Paul, MN 55102-2387 | 2005-07-20 |
1275067308 | Maher Alainawi | Pediatrics | 451 Dunlap St N, Saint Paul, MN 55104-4619 | 2017-04-15 |
1104359405 | Devan Vanlanen-wanek | Pediatrics | 640 Jackson St, Saint Paul, MN 55101-2595 | 2017-04-04 |
1306209549 | Michael Smith | Pediatrics | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2016-04-04 |
1780901801 | Rhamy Nabil Magid | Pediatrics | 347 Smith Ave N, Suite 302, Saint Paul, MN 55102-2387 | 2010-04-29 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55106 |
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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.