PATRICIA MOORE (NPI# 1740204189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740204189 |
| Entity Type | Individual |
| Full Name | PATRICIA MOORE |
| Credential | M.D. |
| Practice Address |
190 Handley Rd Tyrone GA 30290-2178 |
| Mailing Address |
190 Handley Rd Ste A Tyrone GA 30290-2178 |
| Practice Telephone | 7709975714 |
| Practice Fax Number | 7709972810 |
| Mailing Telephone | 7709975714 |
| Mailing Fax Number | 7709972810 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | GA056875 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 741370127F | 05 | |
| GA | AETNA | 7966709 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699800 | Patricia Moore | Registered Nurse | 1101 Sam Perry Blvd Ste 307, Fredericksburg, VA 22401-4466 | 2016-10-09 |
| 1588012678 | Patricia A Moore | Social Worker | 1300 W Belmont Ave Ste 309, Chicago, IL 60657-3241 | 2016-05-30 |
| 1841657244 | Patricia Diahann Moore | Counselor | 133 Cheesman Lake Cir, Divide, CO 80814-9776 | 2016-01-15 |
| 1861893752 | Patricia Ann Moore | Social Worker | 412 6th Ave Fl 7, New York, NY 10011-8409 | 2014-09-10 |
| 1982946232 | Patricia Jeanne Moore | Pathology | 25331 Rayford Crest Dr, Spring, TX 77386-2838 | 2013-03-25 |
| 1356643324 | Patricia Louise Moore | Physician Assistant | 1453 S. Bancroft, Indianaplis, IN 46203-3709 | 2010-11-24 |
| 1154658763 | Patricia Edwards Moore | Mechanotherapist | 819 Se Morrison St Ste 240, Portland, OR 97214-6312 | 2009-11-03 |
| 1093902397 | Patricia D. Moore | Massage Therapist | 22 E Shenango St, Sharpsville, PA 16150-1122 | 2007-10-01 |
| 1649337213 | Patricia Rose Moore | Psychologist | 393 Mass Ave, Arlington, MA 02474 | 2007-01-03 |
| 1164431029 | Patricia A. Moore | Social Worker | 520 N Haines St, Boise, ID 83712-8013 | 2006-08-07 |
| Street Address |
190 HANDLEY RD |
| City | TYRONE |
| State | GA |
| Zip Code | 30290-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162169 | Lynn Marie Stock | Nurse Practitioner | 190 Handley Rd, Tyrone, GA 30290-2178 | 2005-05-27 |
| 1437684412 | Colby Fowler | Advanced Practice Midwife | 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | 2017-04-27 |
| 1609309269 | Yakirah Lee | Advanced Practice Midwife | 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | 2017-04-10 |
| 1710293360 | Katherine Edelstein | Advanced Practice Midwife | 190 Handley Rd, Tyrone, GA 30290-2178 | 2010-08-20 |
| 1972795995 | Ticaria Lynne Lipsey | Obstetrics & Gynecology | 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | 2007-08-14 |
| 1619092756 | Mary Jane Rager | Nurse Practitioner | 190 Handley Rd, Tyrone, GA 30290-2178 | 2007-03-20 |
| 1255354114 | Heather Cantrell | Midwife | 190 Handley Rd, Tyrone, GA 30290-2178 | 2006-07-25 |
| 1033132998 | Wmc Tyrone LLC | Specialist | 190 Handley Rd, Tyrone, GA 30290-2178 | 2006-07-25 |
| 1073590485 | Elizabeth Ann Moore | Obstetrics & Gynecology | 190 Handley Rd, Tyrone, GA 30290-2178 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| Find all providers in zip 30290 | ||||
| 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 |
|---|---|---|---|---|
| 1972795995 | Ticaria Lynne Lipsey | Obstetrics & Gynecology | 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | 2007-08-14 |
| 1346294071 | Roy Rolando Pazmino | Obstetrics & Gynecology | 200 Hospital Dr, Suite 2, Tyrone, PA 16686-1825 | 2006-05-19 |
| 1073590485 | Elizabeth Ann Moore | Obstetrics & Gynecology | 190 Handley Rd, Tyrone, GA 30290-2178 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794001 | Stephanie Stokes | Obstetrics & Gynecology | 1120 15th St Ste Ba-7300, Augusta, GA 30912-0004 | 2020-06-11 |
| 1346865839 | Teodora Stoikov | Obstetrics & Gynecology | 1120 15th St # Ba-7411, Augusta, GA 30912-0004 | 2020-06-10 |
| 1477185221 | Metro Health and Wellness, LLC | Obstetrics & Gynecology | 2950 Stone Hogan Connector Rd Sw Bldg B, Atlanta, GA 30331-2837 | 2020-02-10 |
| 1437707783 | One Health Research Clinic Atlanta LLC | Obstetrics & Gynecology | 5880 Live Oak Pkwy Ste 160, Norcross, GA 30093-1742 | 2019-08-29 |
| 1528627650 | Suellen Anizia Romero De Mello Sa | Obstetrics & Gynecology | 1120 15th St # Ba-7310, Augusta, GA 30912-0004 | 2019-06-12 |
| 1457910069 | Taylor Mitchell Jones | Obstetrics & Gynecology | 1120 15th St # Ba-7300, Augusta, GA 30912-3300 | 2019-06-07 |
| 1871156687 | Alexandra Poch | Obstetrics & Gynecology | 1120 15th St # Ba7300, Augusta, GA 30912-0004 | 2019-04-17 |
| 1912485830 | Hilton Head Regional Physician Network - Georgia, LLC | Obstetrics & Gynecology | 1000 Towne Center Blvd Ste 604b, Pooler, GA 31322-4052 | 2018-08-02 |
| 1003302852 | Louis Wayne Goolsby | Obstetrics & Gynecology | 6605 Britt Rd, Macon, GA 31216-6031 | 2018-07-05 |
| 1508356395 | Hospital Authority of Liberty County | Obstetrics & Gynecology | 455 S Main St Ste 202, Hinesville, GA 31313-4354 | 2018-05-16 |
| Find all providers with the same taxonomy | ||||
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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.