MR. DOUGLAS G MOORE (NPI# 1760008460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760008460 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS G MOORE |
| Practice Address |
1801 Cherry Hill Rd Baltimore MD 21230-3503 |
| Mailing Address |
1173 Hampton Rd Annapolis MD 21409-4844 |
| Practice Telephone | 4103542800 |
| Practice Fax Number | 4102255452 |
| Mailing Telephone | 3026075011 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
789 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669710364 | Douglas Brian Moore | Physical Therapist | 18305 Lyles Dr, Hagerstown, MD 21740-9517 | 2013-01-30 |
| 1528206950 | Douglas Robert Moore | Hearing Instrument Specialist | 14840 Military Trl, Delray Beach, FL 33484-8153 | 2009-01-22 |
| 1578621363 | Douglas William Moore | Dentist | 1011 A Ave W, Oskaloosa, IA 52577-0228 | 2006-12-05 |
| 1679574396 | Douglas Loran Moore | Optometrist | 1902 W 19th St, Suite A, Mountain Grove, MO 65711-1287 | 2005-08-03 |
| 1194729053 | Douglas R Moore | Internal Medicine | 25195 Kelly Rd Ste A, Roseville, MI 48066-4909 | 2005-06-09 |
| 1396064804 | Douglas Boylston Moore IIi | Family Medicine | 901 W Greenwood St, Suite 9, Abbeville, SC 29620-5717 | 2010-05-24 |
| 1427280155 | Douglas John Moore | Psychologist | 6611 Rockside Rd, Suite 215, Independence, OH 44131-2365 | 2009-08-13 |
| 1265696876 | Douglas Richard Moore | Internal Medicine | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2008-07-12 |
| 1417121492 | Douglas William Moore | Obstetrics & Gynecology | 1230 E 6th Ave, Suite 2b, Winfield, KS 67156-3143 | 2008-04-21 |
| 1790853422 | Douglas Bernard Moore | Physician Assistant | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2006-12-01 |
| Street Address |
1801 CHERRY HILL RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21230-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
| 1609486497 | Phaedra Dawn Del Pino | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-08-06 |
| 1508483520 | Chuck Abuadinma | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-06-26 |
| 1548886534 | T Lucas | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-06-25 |
| 1487270088 | Mark Elliott Johnson | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-06-19 |
| 1831715432 | Janice M. Hall | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-06-19 |
| 1982220547 | Kionte D Wilkens | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-06-19 |
| 1760008320 | Constance Marie Wenn | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-06-19 |
| 1821614629 | Forsythia Lee Autery | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-06-18 |
| 1205452190 | La'mar Wise | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
| 1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
| 1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
| 1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
| 1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
| 1588838585 | Dianne Roseberry Jacobs | Physician Assistant | 1699 Leadenhall Street, Spring Gardens Medical Dispensary, Baltimore, MD 21230 | 2008-04-22 |
| Find all providers in zip 21230 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091522 | Choices Integrated Healthcare | Counselor | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-22 |
| 1730791609 | Tony C Shaw | Counselor | 2814 W Garrison Ave, Baltimore, MD 21215-5335 | 2020-08-20 |
| 1023628849 | Delores Jordan | Counselor | 2640 Oswego Ave, Baltimore, MD 21215-7037 | 2020-08-06 |
| 1144838277 | Guiding Lives | Counselor | 6305 Belair Rd, Baltimore, MD 21206-1817 | 2020-07-15 |
| 1750908943 | New Life Services LLC. | Counselor | 3600 W Mulberry St, Baltimore, MD 21229-2928 | 2020-07-03 |
| 1801413422 | Karena Tinika Lee | Counselor | 1336 Homestead St, Baltimore, MD 21218-3624 | 2020-06-30 |
| 1578189668 | Chenelle Gould | Counselor | 4018 Elmora Ave, Baltimore, MD 21213-2120 | 2020-06-24 |
| 1811513625 | Ebony Michelle Johnson | Counselor | 2808 Carver Rd, Baltimore, MD 21225-1312 | 2020-06-18 |
| 1992321798 | Robert Murray | Counselor | 1703 Windemere Ave, Baltimore, MD 21218-3029 | 2020-06-18 |
| 1629694591 | Natale Fiumara | Counselor | 821 N Eutaw St Ste 201, Baltimore, MD 21201-6301 | 2020-06-17 |
| Find all providers in BALTIMORE | ||||
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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.