JOHN C. MOORE


Address: 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539
Phone: 6517020750

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
61474 MN Allopathic & Osteopathic Physicians

Other Providers JOHN MOORE

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

Office Location

Street Address 2080 WOODWINDS DR STE 240
City WOODBURY
State MN
Zip Code 55125-2539

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City WOODBURY
Zip Code 55125

Improve Information

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Dataset Information

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.

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