MRS. REBEKAH GRIFFIN MOORE (NPI# 1952528838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952528838 |
| Entity Type | Individual |
| Full Name | MRS. REBEKAH GRIFFIN MOORE |
| Credential | PA-C |
| Practice Address |
1750 W 4th St Suite 5 Mansfield OH 44906-1770 |
| Mailing Address |
1957 Cliffwood Dr Mansfield OH 44904-1631 |
| Practice Telephone | 4195268444 |
| Practice Fax Number | 4195298617 |
| Mailing Telephone | 4195712288 |
| Mailing Fax Number | 4195268617 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50-001308 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LICENSE | 50-001308 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386009801 | Rebekah Moore | Genetic Counselor, MS | 9500 Euclid Avenue, Ne-50, Cleveland, OH 44195 | 2015-12-29 |
| 1144576232 | Rebekah Moore | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2012-07-26 |
| 1437393428 | Rebekah C Moore | Massage Therapist | 997 E County Line Rd, Suite M, Greenwood, IN 46143-1075 | 2009-04-22 |
| 1467618322 | Rebekah Mclaurin Moore | Occupational Therapy Assistant | 631 Junction Creek Dr, Wilmington, NC 28412-2296 | 2008-07-31 |
| Street Address |
1750 W 4TH ST SUITE 5 |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689860934 | Kristin Marie Domyan | Occupational Therapist | 1750 W 4th St, Outpatient Therapy, Mansfield, OH 44906-1770 | 2007-09-20 |
| 1083812010 | Charles Ray Gadd | Occupational Therapy Assistant | 1750 W 4th St, Medcentral Health System, Mansfield, OH 44906 | 2007-07-11 |
| 1467592352 | Steven J Strickling | Emergency Medicine | 1750 W 4th St, Mansfield, OH 44906-1770 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| 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 |
|---|---|---|---|---|
| 1710297155 | Kara Leigh Kehoe | Physician Assistant | 305 Regency Pkwy Ste 405, Mansfield, TX 76063-5169 | 2010-10-19 |
| 1366558520 | Rita Roantree Foley | Physician Assistant | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2006-08-21 |
| 1407460165 | Andrea Joyce Lankester | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1396384434 | Lauren Colleen Bates | Physician Assistant | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-01-06 |
| 1881231637 | Okechukwu Aniagoh | Physician Assistant | 305 Regency Pkwy Ste 405, Mansfield, TX 76063-5169 | 2019-11-27 |
| 1144862566 | Marissa Catherine Lacey | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-10-17 |
| 1932671211 | Joseph Kleinmann | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2018-12-26 |
| 1881164010 | Mid-ohio Emergency Group, LLC | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2018-11-30 |
| 1326528993 | Alexa D Philipose | Physician Assistant | 801 Matlock Rd, Mansfield, TX 76063-9174 | 2018-08-14 |
| 1073091245 | Joshua Dewayne Wright | Physician Assistant | 2975 E Broad St Ste 200, Mansfield, TX 76063 | 2018-07-31 |
| Find all providers in MANSFIELD | ||||
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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.