JOHANNA L MOORE (NPI# 1730153438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730153438 |
| Entity Type | Individual |
| Full Name | JOHANNA L MOORE |
| Other Name | MS. JOHANNA L CRONAS |
| Credential | PAC |
| Practice Address |
130 S Bryn Mawr Ave Bryn Mawr PA 19010 |
| Mailing Address |
Po Box 3012 Wilmington DE 19804 |
| Practice Telephone | 6105263583 |
| Practice Fax Number | 6105263614 |
| Mailing Telephone | 8004564629 |
| Mailing Fax Number | 3022242848 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA002613L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902282809 | Johanna Moore | Nurse Practitioner | 4110 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-7835 | 2015-08-03 |
| 1366619108 | Johanna Catherine Moore | Emergency Medicine | 701 Park Ave South, Hennepin County Medical Center Revenue Management, Minneapolis, MN 55415 | 2008-05-12 |
| 1851427595 | Johanna Baran Moore | Pathology | 3701 S Higuera St, San Luis Obispo, CA 93401-7462 | 2007-02-26 |
| Street Address |
130 S BRYN MAWR AVE |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589459 | William H Pfeffer | Obstetrics & Gynecology | 130 S Bryn Mawr Ave, Suite 1000 D Wing, Bryn Mawr, PA 19010-3121 | 2005-06-27 |
| 1013525740 | Elizabeth Ferber Lindvig | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3143 | 2020-07-20 |
| 1578171484 | Vincent Anthony Migliori | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-07-16 |
| 1013532282 | Daniel Kim | Urology | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-06-12 |
| 1083239206 | Zachariah Taylor | Urology | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-06-12 |
| 1124666953 | Julianne Keller Kwiatkowski | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-12-11 |
| 1457993974 | Lee A Petroski | Physical Therapist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-10-16 |
| 1013559871 | Amber Brooke Lallo | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-10-14 |
| 1023661352 | Stephanie Nicole Libes | Nurse Practitioner | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-07-16 |
| 1386205839 | Joshua Kim | Student in an Organized Health Care Education/Training Program | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992332167 | Jacqueline Thieman | Physician Assistant | 825 Old Lancaster Rd Ste 440, Bryn Mawr, PA 19010-3236 | 2020-03-26 |
| 1194366823 | Carly Noel Piel | Physician Assistant | 825 Old Lancaster Rd Ste 200, Bryn Mawr, PA 19010-3234 | 2019-10-03 |
| 1013471390 | Marygrace Hegarty | Physician Assistant | 3632 Darby Rd, Bryn Mawr, PA 19010-2008 | 2019-01-30 |
| 1548798135 | Kaitlyn Mollie Fine | Physician Assistant | 825 Old Lancaster Rd Ste 340, Bryn Mawr, PA 19010-3235 | 2017-05-26 |
| 1366984775 | Samantha Biddle | Physician Assistant | 825 Old Lancaster Rd Ste 100, Bryn Mawr, PA 19010-3234 | 2016-11-16 |
| 1124449970 | Rachel Masters | Physician Assistant | 825 Old Lancaster Rd Ste 170, Bryn Mawr, PA 19010-3234 | 2013-12-20 |
| 1023368552 | Abby J. Yochim | Physician Assistant | 830 Old Lancaster Rd Ste 209, Bryn Mawr, PA 19010-3118 | 2012-09-12 |
| 1134385925 | Karen Sun Lee | Physician Assistant | 825 Old Lancaster Ave, Suite 410, Bryn Mawr, PA 19010 | 2008-08-01 |
| 1407856297 | Kierstin N Zetterberg | Physician Assistant | 27 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3406 | 2005-07-22 |
| 1669470738 | Amy Beth Wertman | Physician Assistant | 919 Conestoga Road, Building One Suite #300, Bryn Mawr, PA 19010-1352 | 2005-07-12 |
| Find all providers in BRYN MAWR | ||||
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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.