DR. ILENE RUBOWITZ MOORE


Address: 895 7th St E, Saint Paul, MN 55106-3871
Phone: 6516027500

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MN 913119100 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
324 E 35th St, Minneapolis, MN 554084580 6128277181 6128276403

Other Providers ILENE MOORE

NPI Name Taxonomy Address Enumeration
1891882924 Ilene Moore Family Medicine 3601 Tvc, Nashville, TN 37232-0001 2006-10-09

Office Location

Street Address 895 7TH ST E
City SAINT PAUL
State MN
Zip Code 55106-3871

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SAINT PAUL
Zip Code 55106

Improve Information

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Dataset Information

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.

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