DR. JAVAKA K MOORE (NPI# 1669532347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669532347 |
| Entity Type | Individual |
| Full Name | DR. JAVAKA K MOORE |
| Credential | M.D. |
| Practice Address |
7525 Greenway Center Drive Suite 216 Greenbelt MD 20770 |
| Mailing Address |
7610 Pennsylvania Ave Suite 305 Forestville MD 20747 |
| Practice Telephone | 3014861870 |
| Practice Fax Number | 3016691873 |
| Mailing Telephone | 3016691870 |
| Mailing Fax Number | 3016691873 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D0065087 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICAL LICENSE | D0065087 | 01 |
| DEA | FM0030495 | 01 |
| Street Address |
7525 GREENWAY CENTER DRIVE SUITE 216 |
| City | GREENBELT |
| State | MD |
| Zip Code | 20770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134137060 | Jyoti Behl Md Pa | Social Worker | 7525 Greenway Center Drive, Ste 315, Greenbelt, MD 20770 | 2006-08-04 |
| 1710335187 | Physicians Rx Pharmacies | Clinic/Center | 7525 Greenway Center Drive, Suite 202, Greenbelt, MD 20770 | 2016-05-26 |
| 1154758928 | Complete Obstetrics & Gynecology Care | Obstetrics & Gynecology | 7525 Greenway Center Drive, #208, Greenbelt, MD 20770-3525 | 2013-10-10 |
| 1982913364 | Dawn Keena Lipscombe | Nurse Practitioner | 7525 Greenway Center Drive, Suite T4, Greenbelt, MD 20770 | 2010-10-01 |
| 1528213139 | Allergy & Asthma Center | Specialist | 7525 Greenway Center Drive, Sutie # 214, Greenbelt, MD 20770 | 2008-11-24 |
| 1386830776 | Gabriel E Oboite | Pharmacist | 7525 Greenway Center Drive, Suite 204, Greenbelt, MD 20770-3525 | 2007-09-19 |
| 1992927297 | C Donald George Md & Associates | Internal Medicine | 7525 Greenway Center Drive, Greenbelt, MD 20770 | 2007-05-03 |
| 1275655938 | Deborah Rollins | Internal Medicine | 7525 Greenway Center Drive, Suite 115, Greenbelt, MD 20770 | 2007-04-04 |
| 1366502569 | Aleem A. Iqbal, M.d.,p.a | Specialist | 7525 Greenway Center Drive, Suite #t-8, Greenbelt, MD 20770 | 2006-12-11 |
| 1619041993 | Tomas J Hernandez Md | Internal Medicine | 7525 Greenway Center Drive, Suite T6, Greenbelt, MD 20770 | 2006-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805405 | Caring Hands Medical Clinic LLC | Nurse Practitioner | 7201 Handover Parkway, Suite B, Greenbelt, MD 20770 | 2020-09-10 |
| 1770107203 | Jeannette Nicole Welds | Social Worker | 7710-303 Hanover Parkway, Greenbelt, MD 20770 | 2020-06-01 |
| 1063032597 | Victory Clinical Research | Specialist | 7212 Hanover Parkway, Suite A, Greenbelt, MD 20770 | 2020-04-24 |
| 1336793884 | Yan Chen | Physician Assistant | 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 | 2019-08-01 |
| 1245884519 | Antonio Moody | Counselor | 7474 Greenbelt Center Drive, Greenbelt, MD 20770 | 2019-07-25 |
| 1881166494 | Jeniece Edwina Weddington | Speech-Language Pathologist | Eleanor Roosevelt High School- Pgcps, 7601 Hanover Parkway, Greenbelt, MD 20770 | 2018-12-20 |
| 1043797996 | Thomas Mesumbe | Home Health Aide | 6204 Sringhill Drive, Apartment 201, Greenbelt, MD 20770 | 2018-07-24 |
| 1063914554 | Zainab Anita Foday | Home Health Aide | 5923 Cherrywood Terrace Apt 101, Greenbelt, MD 20770 | 2018-03-01 |
| 1619479193 | Nancy Benga | Home Health Aide | 5821 Cherrywood Ln Apt 104 5821 Cherry Wood Ln Apt 104, Greenbelt, MD 20770 | 2018-03-01 |
| 1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831436450 | William R Greco | Obstetrics & Gynecology | 7229 Hanover Pkwy, Suite B, Greenbelt, MD 20770-2026 | 2013-01-16 |
| 1023179314 | Metropolitan Women's Group, LLC | Obstetrics & Gynecology | 7701 Greenbelt Road, Suite 503, Greenbelt, MD 20770 | 2006-12-12 |
| 1093873853 | Sofia Malik Abdullah | Obstetrics & Gynecology | 8955 Edmonton Rd, F, Greenbelt, MD 20770 | 2006-12-05 |
| 1396735080 | Paul Dean Rogers | Obstetrics & Gynecology | 7309 Hanover Pkwy, Suite A&b, Greenbelt, MD 20770-2032 | 2005-10-25 |
| 1457828469 | Oasis Women's Center LLC | Obstetrics & Gynecology | 7500 Greenway Center Dr Ste 1120, Greenbelt, MD 20770-3563 | 2018-10-28 |
| 1154758928 | Complete Obstetrics & Gynecology Care | Obstetrics & Gynecology | 7525 Greenway Center Drive, #208, Greenbelt, MD 20770-3525 | 2013-10-10 |
| 1164857512 | Moore Obgyn LLC | Obstetrics & Gynecology | 7525 Greenway Center Dr, Suite 216, Greenbelt, MD 20770-3509 | 2013-09-04 |
| 1437421898 | Sofia M. Abdullah, M.d., LLC | Obstetrics & Gynecology | 8955 Edmonston Rd, Suite F, Greenbelt, MD 20770-1006 | 2012-02-01 |
| 1629382445 | Jessica Ratra M.d.p.a | Obstetrics & Gynecology | 7525 Greenway Center Dr, 208, Greenbelt, MD 20770-3509 | 2010-08-04 |
| 1164682126 | Danielle R Waldrop | Obstetrics & Gynecology | 7525 Greenway Center Dr, #216, Greenbelt, MD 20770-3509 | 2008-06-12 |
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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.