MR. MARCUS L MOORE (NPI# 1912020132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912020132 |
| Entity Type | Individual |
| Full Name | MR. MARCUS L MOORE |
| Practice Address |
601 Ne 63rd St Oklahoma City OK 73105-6407 |
| Mailing Address |
9313 Ne Sherwell Dr Midwest City OK 73130-1125 |
| Practice Telephone | 4058401359 |
| Practice Fax Number | 4058405374 |
| Mailing Telephone | 4058401359 |
| Mailing Fax Number | 4058405374 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083633887 | Marcus A Moore | Emergency Medicine | 6770 Dixie Hwy Ste 200, Clarkston, MI 48346-2089 | 2006-07-19 |
| 1376178376 | Marcus Moore | Social Worker | 25 E Washington St Ste 1051, Chicago, IL 60602-1710 | 2020-03-10 |
| 1356707582 | Marcus Moore | Technician, Other | 13101 Allen Rd, Southgate, MI 48195-2216 | 2016-01-04 |
| 1801982780 | Marcus Allen Moore | Marriage & Family Therapist | 1330 Lincoln Ave, Suite 201, San Rafael, CA 94901-2120 | 2006-10-05 |
| Street Address |
601 NE 63RD ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396889556 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-02-19 |
| 1851750566 | Stephanie Orner | Psychologist | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2016-02-23 |
| 1972918886 | Anthony Crawford Jr. | Contractor | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2014-06-30 |
| 1104182633 | Eagle Ridge Institute | Case Management | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2012-04-10 |
| 1699047092 | Eagle Ridge | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2012-01-31 |
| 1205118783 | Rendy Janssen | Marriage & Family Therapist | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2011-09-12 |
| 1679890867 | Candice Lynn Clinton | Counselor | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2010-04-27 |
| 1063643781 | Heartsong Turnbull | Counselor | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2009-07-29 |
| 1073730545 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-19 |
| 1790902260 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1770182065 | Ifeoluwa Ochuwa Idode | Case Manager/Care Coordinator | 8135 Bigwood Drive, Oklahoma City, OK 73135 | 2020-10-19 |
| 1689281180 | Michael Antem Abane | Case Manager/Care Coordinator | 11018 N May Ave Apt 218, Oklahoma City, OK 73120-6310 | 2020-09-28 |
| 1932715091 | Robyn Olukaikpe | Case Manager/Care Coordinator | 1736 Ne 14th St, Oklahoma City, OK 73117-3616 | 2020-09-23 |
| 1720694961 | Latasha Howell | Case Manager/Care Coordinator | 2416 Nw 12th St, Oklahoma City, OK 73107-5608 | 2020-09-22 |
| 1982218822 | Sybril Renee Jeffery | Case Manager/Care Coordinator | 8700 Sw 39th St, Oklahoma City, OK 73179-3878 | 2020-09-08 |
| 1871106096 | Harmonious Healing Counseling, LLC | Case Manager/Care Coordinator | 10802 Quail Plaza Dr Ste 205, Oklahoma City, OK 73120-3121 | 2020-08-27 |
| 1407466816 | Stephanie Denise Hollier | Case Manager/Care Coordinator | 1126 Nw 81st St, Oklahoma City, OK 73114-1811 | 2020-08-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
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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.