JOHN C. MOORE (NPI# 1922217991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922217991 |
Entity Type | Individual |
Full Name | JOHN C. MOORE |
Credential | M.D. |
Practice Address |
2080 Woodwinds Dr Ste 240 Woodbury MN 55125-2539 |
Practice Telephone | 6517020750 |
Practice Fax Number | 6516456166 |
Mailing Telephone | 6517020750 |
Mailing Fax Number | 6516456166 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2017-03-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
61474 | MN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
1609218379 | John Easter Moore Jr. | Social Worker | 2032 Sheffield Rd, Oklahoma City, OK 73120-4926 | 2013-07-23 |
1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
1487915799 | John S Moore | Registered Nurse | 26300 Ford Rd # 160, Dearborn Heights, MI 48127-2854 | 2012-06-04 |
1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
1205130176 | John Robert Moore | Family Medicine | 9715 Hurlbut Rd, Remsen, NY 13438-4621 | 2011-01-06 |
1548462385 | John William Moore IIi | Internal Medicine | 2643 Patterson Rd Ste 605, Grand Junction, CO 81506-1937 | 2007-06-04 |
1962612317 | John D Moore | Hearing Instrument Specialist | 7050 W Palmetto Park Rd Ste 20, Boca Raton, FL 33433-3462 | 2007-05-23 |
Street Address |
2080 WOODWINDS DR STE 240 |
City | WOODBURY |
State | MN |
Zip Code | 55125-2539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831162601 | Geoffrey J Service | Otolaryngology | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2006-02-10 |
1063843761 | Erin Foster | Audiologist | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2013-12-05 |
1720412935 | Kelli N Willems | Physician Assistant | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2013-08-23 |
1487093399 | Daniel John-martin Carroll | Otolaryngology | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2013-06-25 |
1336494046 | Jena Elaine Onarheim | Registered Nurse | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2012-07-18 |
1780942243 | Angela Vong | Otolaryngology | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125 | 2012-05-02 |
1144451691 | Jamie Katherine Flohr | Otolaryngology | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2009-07-31 |
1902034069 | Monica Katherine Kimitch | Audiologist | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2009-06-29 |
1609019363 | Otolaryngology Head & Neck Surgery, P.a,. | Durable Medical Equipment & Medical Supplies | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2009-04-10 |
1396763694 | Carrie A Bell | Audiologist | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2006-07-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
Find all providers in zip 55125 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518116797 | Richard G Vandellen | Internal Medicine | 600 4th St Sw Apt 306, Rochester, MN 55902-3245 | 2008-09-12 |
1386725968 | Lindsey Samuel Pearson | Internal Medicine | 11608 Terrace Rd Ne, Administrative Office, Minneapolis, MN 55434-1861 | 2006-10-18 |
1275822686 | Jennifer Erin Boeckman | Internal Medicine | 565 Snelling Ave S, Saint Paul, MN 55116-1525 | 2011-04-06 |
1932286556 | Avni Y Joshi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-11-01 |
1972510220 | Mee Lee Chun Nelson | Internal Medicine | 501 E Nicollet Blvd, Sye 200, Burnsville, MN 55337-6732 | 2006-08-01 |
1346208774 | Paul E. Dahlberg | Internal Medicine | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2006-05-03 |
1588640502 | Evangelo Frigas | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-21 |
1801887054 | Mary U Keating | Internal Medicine | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2005-11-04 |
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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.