KERRY F MOORE (NPI# 1831207117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831207117 |
| Entity Type | Individual |
| Full Name | KERRY F MOORE |
| Credential | MD |
| Practice Address |
583c E Riverside Dr North Tazewell VA 24630-9573 |
| Practice Telephone | 2769799899 |
| Practice Fax Number | 2769799798 |
| Mailing Telephone | 2769799899 |
| Mailing Fax Number | 2769799798 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2014-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101240861 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BLUE CROSS OPC | 337780 | 01 |
| VA | ANTHEM BLUE CROSS TFHC | 337778 | 01 |
| WV | 3810009661 | 05 | |
| VA | 1831207117 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619433588 | Kerry Lynn Moore | Social Worker | 229 E Jacaranda Ave, Orange, CA 92867-4842 | 2019-02-15 |
| 1801945050 | Kerry D Moore | Dentist | 31 North Plaza Blvd, Chillicothe, OH 45601 | 2007-01-09 |
| 1942272224 | Kerry E Moore | Internal Medicine | 1601 Lowell Blvd, Denver, CO 80204-1559 | 2006-02-02 |
| 1578113445 | Kerry Moore | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2019-09-12 |
| 1194027243 | Kerry E Moore | Nurse Practitioner | 350 New Campus Dr, Suny College At Brockport Hazen Health Center, Brockport, NY 14420-2997 | 2010-11-23 |
| 1891973426 | Kerry Brigid Moore | Pediatrics | 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776-1220 | 2008-02-06 |
| Street Address |
583C E RIVERSIDE DR |
| City | NORTH TAZEWELL |
| State | VA |
| Zip Code | 24630-9573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407969017 | Deborah Lynn Ball | Nurse Practitioner | 583c E Riverside Dr, North Tazewell, VA 24630-9573 | 2006-08-16 |
| 1982010328 | Tara R Prater | Social Worker | 583c E Riverside Dr, North Tazewell, VA 24630-9573 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497143655 | Michael Kyle Hart | Chiropractor | 699 East Riverside Drive, North Tazewell, VA 24630 | 2014-12-22 |
| 1275970170 | Family Preservation Services, Inc | Community/Behavioral Health | 114 Schoolhouse Rd, North Tazewell, VA 24630 | 2013-05-31 |
| 1538304902 | Family Preservation Services, Inc | Community/Behavioral Health | 200 E Riverside Dr, North Tazewell, VA 24630 | 2008-12-12 |
| 1326199324 | Four Way Drug | Pharmacist | Four Way Shopping Center, North Tazewell, VA 24630 | 2007-01-16 |
| 1093824260 | Wendy Dyan Dillon | Speech-Language Pathologist | 1134 East Fincastle Turnpike, Heartland Rehabilitation Services, North Tazewell, VA 24630 | 2006-08-30 |
| 1235140716 | Mountain Kids, Inc. | Dentist | 200 East Riverside Drive, North Tazewell, VA 24630 | 2006-08-10 |
| 1740389436 | Connie Jean Miller | Physical Therapist | 1134 East Fincastle Turnpike, Heartland Rehabilitation Services, North Tazewell, VA 24630 | 2006-09-21 |
| 1255442828 | Wanda Caroline Partyka | Occupational Therapist | 1134 East Fincastle Turnpike, Heartland Rehabilitation Services, North Tazewell, VA 24630 | 2006-08-31 |
| 1376656603 | Donna S Murray | Nurse Practitioner | 29306 Governor George C Peery Hwy, North Tazewell, VA 24630-0218 | 2006-08-17 |
| 1972606614 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 265 Market St, North Tazewell, VA 24630-5015 | 2006-09-07 |
| Find all providers in zip 24630 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637242 | Hastings Healthcare, LLC | General Practice | Hastings Medical Clinic of Bridgewater, 110 North Main Street Suite A, Bridgewater, VA 22812 | 2020-10-21 |
| 1588275986 | Chs Virginia Medical P C | General Practice | 901 E Byrd St Ste 190, Richmond, VA 23219-4077 | 2020-08-11 |
| 1407465289 | Martine H Long | General Practice | 515 Cornerstone St, Lynchburg, VA 24502-5342 | 2020-07-28 |
| 1720617525 | Squadron Health Enterprises, LLC | General Practice | 10602 Allenwood Ln, Great Falls, VA 22066-3229 | 2020-04-03 |
| 1851929558 | Medical Care for Family LLC | General Practice | 6408k Seven Corners Pl Ste G, Falls Church, VA 22044-2007 | 2020-03-29 |
| 1104389337 | Bardia Nemati | General Practice | 731 Walker Rd # E1, Great Falls, VA 22066-2834 | 2019-04-14 |
| 1649733387 | Renaissance Medical Center | General Practice | 284 Blevins Blvd, Bristol, VA 24202-5977 | 2019-04-10 |
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| Find all providers with the same taxonomy | ||||
| City | NORTH TAZEWELL |
| Zip Code | 24630 |
Please comment or provide details below to improve the information on KERRY F MOORE.
| 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.