DAVID CARSON MOORE (NPI# 1942859483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942859483 |
| Entity Type | Individual |
| Full Name | DAVID CARSON MOORE |
| Practice Address |
840 W Floyd Baker Blvd Gaffney SC 29341-1845 |
| Mailing Address |
Po Box 277723 Atlanta GA 30384-7723 |
| Practice Telephone | 8644893300 |
| Practice Fax Number | 8644883744 |
| Mailing Telephone | 8645606000 |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 4061PA | 05 | |
| SC | MEDICARE PIN | SCG971J577 | 01 |
| SC | MEDICARE PIN | SCG9716084 | 01 |
| SC | MEDICARE PIN | SCG971J6067 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975979 | David Brent Moore | Speech-Language Pathologist | 2201 W Iowa Ave Ste 5, Chickasha, OK 73018-2732 | 2019-04-25 |
| 1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
| 1609221209 | David Christopher Moore | Anesthesiology | 75 Francis St # Cw-l1, Boston, MA 02115-6110 | 2016-05-02 |
| 1114389780 | David Jan Moore | Emergency Medicine | 6015 Tyndall Ave, Bronx, NY 10471-1812 | 2016-03-23 |
| 1679915060 | David E Moore | Dentist | 11 N 11th Ave Ste 107, Yakima, WA 98902-3085 | 2013-07-25 |
| 1346503349 | David Moore | Family Medicine | 6282 Edgecreek Ln, Columbus, OH 43231-7645 | 2012-06-25 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1821357468 | David John Moore | Acupuncturist | 1210 Lehigh St, Boulder, CO 80305-6352 | 2012-05-15 |
| 1922306760 | David Jonathan Moore | Specialist/Technologist, Other | 674 Mesa Ct, Rifle, CO 81650-2529 | 2011-03-02 |
| 1497989933 | David B Moore | Registered Nurse | 4801 College Blvd., Leawood, KS 66211-1628 | 2009-05-13 |
| Street Address |
840 W FLOYD BAKER BLVD |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29341-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275504359 | Robert Wayne Kaemmerlen | Family Medicine | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2006-01-27 |
| 1285275305 | Cherokee Medical Center | Family Medicine | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2019-09-30 |
| 1902447022 | Cherokee Medical Center | Family Medicine | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2019-09-30 |
| 1740704055 | Julie Shelton Daniels | Registered Nurse | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2017-07-28 |
| 1578092250 | Casey C Harris | Nurse Practitioner | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2017-06-07 |
| 1265984678 | Jodi Cameron Brown | Registered Nurse | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2016-11-02 |
| 1750834198 | Kristen Danielle Deluna | Registered Nurse | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2016-08-03 |
| 1770943342 | Spartanburg Medical Center | Family Medicine | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2016-02-25 |
| 1023498938 | Emily Staggs | Family Medicine | 840 W Floyd Baker Blvd, Gaffney, SC 29341 | 2015-06-05 |
| 1295114742 | Jamie Burns | Family Medicine | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2015-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855564 | Taylor Lynn Helms | Speech-Language Pathologist | Cherokee County School District 1, 141 Twin Lake Rd, Gaffney, SC 29341 | 2019-08-09 |
| 1679092084 | Jasmine Evonne Tate | Specialist/Technologist | 131 Poplar Ridge Drive, Gaffney, SC 29341 | 2017-09-18 |
| 1538532163 | Gail Ritchie-antenucci | Counselor | 401 S. Logan Street, Gaffney, SC 29341 | 2015-11-04 |
| 1457755381 | Advantage Early Intervention of The Upstate | Early Intervention Provider Agency | 428 Old Metal Road, Gaffney, SC 29341 | 2014-10-21 |
| 1245659945 | Rebecca Wheeler | Registered Nurse | 855 West Rutledge Avenue, Gaffney, SC 29341 | 2014-04-09 |
| 1558677559 | Lisa Bishop, Mcd,ccc-slp | Speech-Language Pathologist | 109 A Chelle Lin Drive, Gaffney, SC 29341 | 2010-08-27 |
| 1912101965 | Palmetto Chiropractic Plus | Chiropractor | 428 Hyatt Street Ste B, Gaffney, SC 29341 | 2007-06-13 |
| 1093919391 | Chiropractic Wellness Inc | Chiropractor | 122 S. Granard Street, Gaffney, SC 29341 | 2007-06-12 |
| 1003038084 | Kathy Jo Bratton | Specialist/Technologist | 153 Green Park Drive, Gaffney, SC 29341 | 2007-05-02 |
| 1225155138 | Wanda Marie Bobo | Occupational Therapy Assistant | 233 Tiffany Park, Gaffney, SC 29341 | 2007-03-23 |
| Find all providers in zip 29341 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457878563 | Elizabeth Marie Hargett | Physician Assistant | 1552 N Limestone St Ste B, Gaffney, SC 29340 | 2017-08-29 |
| 1508125204 | Gaffney Physician Services PC | Physician Assistant | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2012-05-15 |
| 1285908723 | Gaffney Emergency Group PC | Physician Assistant | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2012-03-01 |
| 1952558058 | Timothy Stuart | Physician Assistant | 1307 N Logan St, Gaffney, SC 29341-2026 | 2008-08-20 |
| 1285896365 | South Carolina Em-i Medical Services | Physician Assistant | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2008-06-30 |
| 1184759268 | Upstate Emergency Services | Physician Assistant | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2007-02-22 |
| 1851356877 | Beth Virginia Edwards | Physician Assistant | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770712 | Hannah Jenkins | Physician Assistant | 780 Windrow Dr, Sumter, SC 29150-5318 | 2020-11-04 |
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1538768098 | Hristos Stamatopoulos | Physician Assistant | 149 Independent Ln, Walterboro, SC 29488-6218 | 2020-10-25 |
| 1053910596 | Sarah Xiao Jing Jarema | Physician Assistant | 1211 Hadley Cir Unit 4301, Myrtle Beach, SC 29577-8219 | 2020-10-24 |
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1487252367 | Hannah Beddingfield | Physician Assistant | 200 Drury Ln, Mauldin, SC 29662-2228 | 2020-10-13 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1790383719 | Kaytlin Blake Hollingsworth | Physician Assistant | 2774 Shadow Ln, North Charleston, SC 29406-9065 | 2020-10-12 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1144836461 | Michael Joseph Haven | Physician Assistant | 221 Bayfront Dr Unit 224, Mount Pleasant, SC 29464-1825 | 2020-09-22 |
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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.