DARYL JOSEPH MOORE (NPI# 1699739813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699739813 |
| Entity Type | Individual |
| Full Name | DARYL JOSEPH MOORE |
| Credential | PA-C |
| Practice Address |
430 Morton Plant St Clearwater FL 33756-3398 |
| Practice Telephone | 7274616026 |
| Mailing Telephone | 7274616026 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2015-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9103678 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2925591 00 | 05 | |
| FL | TRICARE | 285724874 | 01 |
| FL | RAILROAD MEDICARE | P00316796 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669810818 | Daryl Denise Moore | Speech-Language Pathologist | 7919 Spring Flower Rd, Columbia, SC 29223-5634 | 2013-06-10 |
| 1114124625 | Daryl Moore | Physical Therapy Assistant | 2375 Telstar Dr, Ste 110, Colorado Springs, CO 80920-1028 | 2007-06-28 |
| 1124502638 | Daryl Moore | Physical Therapist | 2300 Haggerty Rd Ste 2020, West Bloomfield, MI 48323-2189 | 2018-09-20 |
| Street Address |
430 MORTON PLANT ST |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896699 | Thurman Johnson Ross | Specialist | 430 Morton Plant St, Suite 206, Clearwater, FL 33756-3398 | 2005-10-25 |
| 1346693231 | Jacqueline Brooke Johnson | Physician Assistant | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3395 | 2016-07-15 |
| 1366898108 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 430 Morton Plant St, Suite 206, Clearwater, FL 33756-3398 | 2016-05-11 |
| 1487014171 | Kristen Hicks | Occupational Therapist | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2016-02-24 |
| 1073998985 | Adam Pignon | Physical Therapist | 430 Morton Plant St, 206, Clearwater, FL 33756-3398 | 2015-07-22 |
| 1639426810 | Christopher Michael Edelman | Physician Assistant | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3398 | 2012-08-07 |
| 1104180280 | Shannon Marie Barsema | Clinical Neuropsychologist | 430 Morton Plant St, Suite 402, Clearwater, FL 33756-3398 | 2012-07-03 |
| 1083980767 | Antonia M Favacho | Physical Therapy Assistant | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2012-03-28 |
| 1881968873 | Nancy Carol Blair | Speech-Language Pathologist | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2012-03-08 |
| 1275807570 | Carly Runkles | Physical Therapist | 430 Morton Plant St, Suite 101, Clearwater, FL 33756-3398 | 2012-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1487108288 | Andreas Demopoulos | Physician Assistant | 19277 Hwy 19 N, Clearwater, FL 33761-7360 | 2016-08-09 |
| 1003096652 | Elizabeth Marie Weaver | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2007-11-13 |
| 1558323782 | Amy Termine | Physician Assistant | 29277 Us 19 N, Clearwater, FL 33761-2102 | 2006-04-04 |
| 1871567313 | Nancy J Andrejack | Physician Assistant | 1865 N Keene Rd, Clearwater, FL 33755-2314 | 2006-02-13 |
| 1538162292 | Brenda Hoy | Physician Assistant | 455 Pinellas St, Suite 320, Clearwater, FL 33756-3369 | 2005-05-24 |
| 1003452426 | Felix Esparra-santiago | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2019-11-20 |
| 1881170835 | Bruce J. Farmer | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2018-07-12 |
| 1558860163 | Jeffrey Smith | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2018-02-09 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on DARYL JOSEPH MOORE.
| 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.