LEE ELLIS MOORE (NPI# 1699156950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699156950 |
Entity Type | Individual |
Full Name | LEE ELLIS MOORE |
Credential | M.D. |
Practice Address |
501 Baptist Dr Ste 220 Madison MS 39110-2031 |
Practice Telephone | 6019859120 |
Mailing Telephone | 6019859120 |
Enumeration Date | 2015-06-12 |
Last Update Date | 2020-07-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 209770 | NC | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 34523 | OK | Allopathic & Osteopathic Physicians |
Y | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
27439 | MS | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
608 Stanton L Young Blvd, Oklahoma City, OK 731045014 | 4052717816 | 4052713013 |
125 Macnider Hl, Campus Box #7005, Chapel Hill, NC 275990001 | 9199664468 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326432287 | Lee Goddard Moore | Registered Nurse | 1310 Bertha Ave Nw, Bremerton, WA 98312-2607 | 2015-03-27 |
1942563051 | Lee Ann Moore | Pharmacist | 815 S College Rd, Wilmington, NC 28403-4409 | 2012-06-22 |
1306920913 | Lee Richard Moore Jr. | Optometrist | 311 Prospect Ave, Charles Town, WV 25414-1137 | 2006-10-24 |
1255320842 | Lee J Moore | Dentist | 2407 W 104th St, Chicago, IL 60655-1006 | 2005-10-17 |
1093709842 | Lee Eugene Moore | Dentist | 106 S Cummings Ln, Washington, IL 61571-3442 | 2005-09-08 |
1407398308 | Lee Moore | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2016-11-08 |
1962728600 | Lee Katherine Moore | Emergency Medicine | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2010-04-19 |
1861648248 | Lee David Moore | Obstetrics & Gynecology | 2900 E 29th St, Suite 300, Bryan, TX 77802-2622 | 2008-08-17 |
1508859166 | Lee S Moore | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
Street Address |
501 BAPTIST DR STE 220 |
City | MADISON |
State | MS |
Zip Code | 39110-2031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356551691 | Kevin Kosek | Ophthalmology | 501 Baptist Dr Ste 220, Madison, MS 39110-2031 | 2007-05-23 |
1427218965 | Kevin Kosek Eye Clinic, P.a. | Ophthalmology | 501 Baptist Dr Ste 220, Madison, MS 39110-2031 | 2008-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
Find all providers in zip 39110 |
Taxonomy Code | 207WX0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Cornea and External Diseases Specialist |
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. |
Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2018: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164479812 | Bo Huang | Ophthalmology | 2500 N State St, Suite B319, Jackson, MS 39216-4500 | 2006-05-28 |
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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.