KEITH R MOORE (NPI# 1760471304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760471304 |
| Entity Type | Individual |
| Full Name | KEITH R MOORE |
| Credential | DO |
| Practice Address |
10800 Dylan Loren Cir Suite 102 Orlando FL 32825-4437 |
| Practice Telephone | 4072778665 |
| Practice Fax Number | 4072771267 |
| Mailing Telephone | (407) 277-8665 |
| Mailing Fax Number | 4072771267 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2017-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
OS6231 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003311800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912159773 | Keith L Moore | Durable Medical Equipment & Medical Supplies | 704 Andover St, San Francisco, CA 94110-6018 | 2008-10-10 |
| 1871793059 | Keith K Moore Jr. | Chiropractor | 2200 S Rural Rd, Tempe, AZ 85282-1411 | 2007-07-24 |
| 1154302784 | Keith S Moore | Surgery | 1100 Johnson Fy Rd Ne, Suite 165, Atlanta, GA 30342-1709 | 2005-11-10 |
| 1144714114 | Keith Michael Moore | Counselor | 2316 N Cole Rd Ste A, Boise, ID 83704-7365 | 2018-06-21 |
| 1336599141 | Keith Erickson Moore | Dentist | 901 S Federal Hwy, Ste 301, Ft Lauderdale, FL 33316-1266 | 2016-06-13 |
| 1902190572 | Keith Louis Moore | Physician Assistant | 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 | 2011-06-01 |
| 1235196379 | Keith E Moore | Pharmacist | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-05-01 |
| Street Address |
10800 DYLAN LOREN CIR SUITE 102 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32825-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083603625 | Gastroenterology Consultants of Central Florida Pa | Internal Medicine | 10800 Dylan Loren Cir, Suite 102, Orlando, FL 32825-4437 | 2005-10-17 |
| 1952731887 | East Orange Endodontics | Clinic/Center | 10800 Dylan Loren Cir, Suite 103, Orlando, FL 32825-4437 | 2013-11-13 |
| 1306196449 | Gastroenterology Consultants of Central Florida, Pa | Non-Pharmacy Dispensing Site | 10800 Dylan Loren Cir, Suite 102, Orlando, FL 32825-4437 | 2012-09-17 |
| 1669661153 | Mauricio Chavarriaga | Dentist | 10800 Dylan Loren Cir, Ste 103, Orlando, FL 32825-4437 | 2007-10-19 |
| 1043209695 | Aniq Shaikh | Internal Medicine | 10800 Dylan Loren Cir, Suite 102, Orlando, FL 32825-4437 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1649837550 | Jessica Rivera | Social Worker | 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 | 2019-05-27 |
| 1326526708 | Total Family Care LLC | Family Medicine | 106 North Dean Road, Suite 1, Orlando, FL 32825 | 2018-07-30 |
| 1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
| 1336636075 | Vijaya Laxmi Telu | Nurse Practitioner | 100 North Dean Rd Suite 101, Orlando, FL 32825 | 2018-04-18 |
| 1740795053 | Anna Louise Morris | Specialist/Technologist | 10719 Fairhaven Way, Orlando, FL 32825 | 2017-12-08 |
| 1568973352 | Darrenn G Cadet | Behavior Technician | 11121 Tortuga Bnd, Orlando, FL 32825 | 2017-10-19 |
| 1265942072 | Raquel B Saliba | Physical Therapist | 250 South Chickasaw Trail, Orlando, FL 32825 | 2017-10-06 |
| 1528585890 | Vreny Tatyana Gonzalez-casas | Behavior Technician | 3206 Mattson Dr, Orlando, FL 32825 | 2017-08-27 |
| 1184147803 | Alexandra Grace Mcmanus | Social Worker | 11258 Point Sylvan Circle, Orlando, FL 32825 | 2017-07-25 |
| Find all providers in zip 32825 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457428781 | Le-chu Su | Internal Medicine | 9975 Tavistock Lakes Blvd Ste 360, Orlando, FL 32827-7665 | 2006-11-30 |
| 1881625333 | Mangesh Shukla | Internal Medicine | 2415 N Orange Ave Ste 200, Orlando, FL 32804-5505 | 2006-07-05 |
| 1265471502 | Philip N. Styne | Internal Medicine | 2501 North Orange Ave., Suite 235, Orlando, FL 32804 | 2006-06-05 |
| 1417921115 | Richard Anthony Dumois | Internal Medicine | 6735 Conroy Rd, Ste 214, Orlando, FL 32835-3565 | 2006-02-17 |
| 1265411185 | Muhammad Asif Mohiuddin | Internal Medicine | 2880 S Osceola Ave, Orlando, FL 32806-5431 | 2006-01-10 |
| 1194701193 | Nasim Ahmed | Internal Medicine | 7328 Stonerock Cir, Orlando, FL 32819-8000 | 2005-12-21 |
| 1053396572 | Patrick Basu | Internal Medicine | 6735 Conroy Rd Ste 223, Orlando, FL 32835-3570 | 2005-12-07 |
| 1083603625 | Gastroenterology Consultants of Central Florida Pa | Internal Medicine | 10800 Dylan Loren Cir, Suite 102, Orlando, FL 32825-4437 | 2005-10-17 |
| 1275521882 | Nora A. Erhart | Internal Medicine | 7243 Della Dr, Orlando, FL 32819-5104 | 2005-10-07 |
| 1194330175 | Herlieni Escalera | Internal Medicine | 100 N Dean Rd Ste 101, Orlando, FL 32825-3710 | 2020-09-15 |
| Find all providers in ORLANDO | ||||
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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.