MATTHEW R. MOORE (NPI# 1861489056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861489056 |
| Entity Type | Individual |
| Full Name | MATTHEW R. MOORE |
| Credential | M.D. |
| Practice Address |
1930 Ne 47th St Suite 200 Fort Lauderdale FL 33308-7718 |
| Mailing Address |
1930 Ne 47th St Suite200 Fort Lauderdale FL 33308-7718 |
| Practice Telephone | 9547714251 |
| Practice Fax Number | 9544914892 |
| Mailing Telephone | 9547714251 |
| Mailing Fax Number | 9544914892 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2008-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 62328 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 371666000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285173138 | Matthew Moore | Specialist/Technologist | 287 Rivers St, Boone, NC 28608-0001 | 2017-02-13 |
| 1649440959 | Matthew D. Moore | Radiology | Uva Children's Hospital @ The Battle Bldg, Charlottesville, VA 22908-4617 | 2008-03-04 |
| 1437105640 | Matthew Gresser Moore | Family Medicine | 12369 E Michigan Ave, Grass Lake, MI 49240-9213 | 2006-05-26 |
| 1932727708 | Matthew Moore | Student in an Organized Health Care Education/Training Program | 234 E 85th St, New York, NY 10028-3001 | 2020-07-08 |
| 1558829234 | Matthew Moore | Case Manager/Care Coordinator | 100 E 33rd St Ste 201b, Vancouver, WA 98663-2776 | 2019-03-12 |
| 1205358801 | Matthew Stephen Moore | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-07-14 |
| 1568990224 | Matthew Thomas Moore | Registered Nurse | 200 University Rdg, Greenville, SC 29601-3635 | 2017-05-25 |
| 1588191977 | Matthew Brian Moore | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2017-05-16 |
| 1912351123 | Matthew Moore | Anesthesiology | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2016-04-14 |
| 1982073060 | Matthew Moore | Chiropractor | 7116 Stinson Ave, A-102, Gig Harbor, WA 98335-1100 | 2015-09-18 |
| Street Address |
1930 NE 47TH ST SUITE 200 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265980601 | Nicole Ann Puleo | Nurse Practitioner | 1930 Ne 47th St, Suite 200, Fort Lauderdale, FL 33308-7718 | 2016-09-14 |
| 1215363593 | Beth Camhi-greenberg | Nurse Practitioner | 1930 Ne 47th St, Suite 309, Fort Lauderdale, FL 33308 | 2013-09-19 |
| 1821153867 | Fort Lauderdale Pain Medicine, Inc. | Specialist | 1930 Ne 47th St, Suite 300, Fort Lauderdale, FL 33308-7718 | 2006-12-27 |
| 1326102252 | Glen E Sutherland Md Pa | Internal Medicine | 1930 Ne 47th St, Suite 301, Fort Lauderdale, FL 33308-7718 | 2006-12-22 |
| 1649249756 | Marcos Szeinfeld | Pain Medicine | 1930 Ne 47th St, Fort Lauderdale, FL 33308-7729 | 2006-03-14 |
| 1063409258 | F Gary Gieseke | Neurological Surgery | 1930 Ne 47th St, Suite 200, Fort Lauderdale, FL 33308-7718 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174014427 | Comprehensive Neurospine, LLC. | Neurological Surgery | 5353 N Federal Hwy Ste 300, Fort Lauderdale, FL 33308-3236 | 2018-05-22 |
| 1679712293 | South Florida Neurosurgical Institute Inc | Neurological Surgery | 1201 S Andrews Ave, Suite 200, Fort Lauderdale, FL 33316-1835 | 2009-02-05 |
| 1104024983 | Florida Neurological Surgery, LLC | Neurological Surgery | 1301 E Broward Blvd, Suite 300, Fort Lauderdale, FL 33301-2135 | 2007-07-03 |
| 1336240639 | Richard Mark Foltz | Neurological Surgery | 3031 Ne 55th Ln, Fort Lauderdale, FL 33308-3430 | 2006-09-26 |
| 1457315327 | Amos W Stoll | Neurological Surgery | 1601 S Andrews Ave, 3rd Floor, Fort Lauderdale, FL 33316-2509 | 2006-04-17 |
| 1679864581 | Christopher C Roberts | Neurological Surgery | 1601 S Andrews Ave, 3rd Floor, Fort Lauderdale, FL 33316-2509 | 2011-04-26 |
| 1568693323 | Kishner & Calise P A | Neurological Surgery | 2021 E Commercial Blvd, Suite 201, Fort Lauderdale, FL 33308-3763 | 2009-07-28 |
| 1437315652 | Ali Ghods Jourabchi | Neurological Surgery | 4725 North Federal Highway, Suite 504, Fort Lauderdale, FL 33308 | 2008-08-07 |
| 1114955176 | North Broward Hospital District | Neurological Surgery | 1601 S Andrews Ave, 3rd Floor, Fort Lauderdale, FL 33316-2509 | 2006-06-29 |
| 1629032594 | Randell G Powell | Neurological Surgery | 1601 S Andrews Ave, 3rd Floor, Fort Lauderdale, FL 33316 | 2006-04-17 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.