DR. MARK OWEN MOORE (NPI# 1821261918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821261918 |
| Entity Type | Individual |
| Full Name | DR. MARK OWEN MOORE |
| Credential | M.D. |
| Practice Address |
999 N Curtis Rd Suite 117 Boise ID 83706-1336 |
| Mailing Address |
990 E Winding Creek Dr Eagle ID 83616-7231 |
| Practice Telephone | 2083672155 |
| Mailing Telephone | 3035877090 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2013-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
M-12018 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031019 | Mark Daniel Moore | Psychologist | 100 Miner St, Crescent City, IL 60928-8092 | 2017-08-30 |
| 1114462017 | Mark Christopher Moore | Anesthesiologist Assistant | 8000 E Maplewood Ave Bldg 5, Ste. 200, Greenwood Village, CO 80111-4766 | 2016-12-30 |
| 1699981183 | Mark Wayne Moore | Dentist | 2301 12th St, Meridian, MS 39301-3934 | 2007-05-14 |
| 1588747588 | Mark W Moore | Physical Therapist | 6036 N 19th Ave Ste 303, Phoenix, AZ 85015 | 2006-10-23 |
| 1346338530 | Mark Douglas Moore | Optometrist | 2020 N Tyler Rd Ste 124, Wichita, KS 67212-4916 | 2006-10-11 |
| 1730289935 | Mark Edward Moore | Optometrist | 3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 | 2006-09-25 |
| 1043328800 | Mark D Moore | Optometrist | 504 Peterson Ave S, Douglas, GA 31533-5254 | 2006-08-29 |
| 1104934462 | Mark Stephen Moore | Dentist | 5501 Matlock Rd, Arlington, TX 76018-1534 | 2006-08-28 |
| 1225022833 | Mark Phillip Moore | Dentist | 2048 Windward Ln, Gainesville, GA 30501-7418 | 2005-09-09 |
| 1710527130 | Mark Moore | Community Health Worker | 1114 Lane 12, Lovell, WY 82431-9555 | 2020-01-14 |
| Street Address |
999 N CURTIS RD SUITE 117 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691598 | Richard W Wilson | Psychiatry & Neurology | 999 N Curtis Rd, Ste 506, Boise, ID 83706-1336 | 2005-09-29 |
| 1477814952 | Eric F Holt | Psychiatry & Neurology | 999 N Curtis Rd, # 502, Boise, ID 83706-1336 | 2012-05-31 |
| 1700164092 | Rhoda E Heaton | Physician Assistant | 999 N Curtis Rd, Suite 415, Boise, ID 83706-1334 | 2011-08-03 |
| 1639403041 | Stefanie Jean Magee | Physician Assistant | 999 N Curtis Rd, Suite 415, Boise, ID 83706-1334 | 2009-10-01 |
| 1851625925 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 999 N Curtis Rd, Suite 102, Boise, ID 83706-1336 | 2009-09-23 |
| 1013168830 | Brian John Hall | Pathology | 999 N Curtis Rd, Ste 117, Boise, ID 83706-1336 | 2008-10-10 |
| 1174789994 | Tracey Reeve | Physician Assistant | 999 N Curtis Rd, Suite 415, Boise, ID 83706-1334 | 2008-07-31 |
| 1275718595 | Britani Rhea Hill | Surgery | 999 N Curtis Rd, Suite 415, Boise, ID 83706-1334 | 2008-01-05 |
| 1124226378 | D Peter Reedy Md Pa | Neurological Surgery | 999 N Curtis Rd, 307, Boise, ID 83706-1336 | 2007-07-10 |
| 1649478454 | Idaho Dermatologic Surgery & Laser Center Pa | Dermatology | 999 N Curtis Rd, Ste 505, Boise, ID 83706-1336 | 2007-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578674560 | Daniel Louis Toweill | Pathology | 1151 W. Miller St., Boise, ID 83702-6965 | 2006-08-31 |
| 1821093527 | Michael J Myhre | Pathology | 1151 Miller St, Boise, ID 83702-6965 | 2005-06-17 |
| 1215253240 | Elizabeth M Williams | Pathology | 190 E Bannock St, Boise, ID 83712-6241 | 2010-04-15 |
| 1386960466 | Karen Ann Johnson | Pathology | 190 E Bannock St, Boise, ID 83712-6241 | 2010-04-14 |
| 1013168830 | Brian John Hall | Pathology | 999 N Curtis Rd, Ste 117, Boise, ID 83706-1336 | 2008-10-10 |
| 1679769350 | Carl T Koenen | Pathology | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2007-09-17 |
| 1578573242 | Frederick W Bauer | Pathology | 500 W Fort St, Boise, ID 83702-4501 | 2006-08-08 |
| 1386677524 | St Alphonsus Professional Medical Services LLC | Pathology | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2006-07-09 |
| 1396785531 | Edward J Kim | Pathology | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2006-06-07 |
| 1750329025 | Richard A Stillinger | Pathology | 190 E Bannock St, Boise, ID 83712-6241 | 2006-06-02 |
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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.