DR. BARRY BROOKS MOORE (NPI# 1962498501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962498501 |
| Entity Type | Individual |
| Full Name | DR. BARRY BROOKS MOORE |
| Credential | M.D. |
| Practice Address |
920 Century Dr Mechanicsburg PA 17055-8417 |
| Mailing Address |
118 Washington St Harrisburg PA 17104-1677 |
| Practice Telephone | 7176975800 |
| Practice Fax Number | 7176972719 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2013-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD013303E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 4547288 | 01 |
| PA | GATEWAY | 7142640 | 01 |
| PA | UNISON | 228135 | 01 |
| PA | HIGHMARK BLUE SHIELD | 142640 | 01 |
| PA | GEISINGER | 18525 | 01 |
| PA | BLUE CROSS | 50073727 | 01 |
| PA | 0008007390002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811012875 | Barry Moore | Physical Therapist | 5250 S. Pecos, #100, Las Vegas, NV 89120 | 2007-03-20 |
| 1932262649 | Barry Earl Moore | Social Worker | 260 Chapman Rd, Suite 100b, Newark, DE 19702-5490 | 2006-12-18 |
| 1811907785 | Barry C Moore | Physician Assistant | 740 S Limestone, Lexington, KY 40536-0001 | 2006-08-09 |
| 1255323622 | Barry Allen Moore | Psychiatry & Neurology | 311 Judges Rd, Building 4e, Wilmington, NC 28405-3651 | 2005-08-22 |
| Street Address |
920 CENTURY DR |
| City | MECHANICSBURG |
| State | PA |
| Zip Code | 17055-8417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265547 | Roger Harold Ostdahl | Neurological Surgery | 920 Century Dr, Mechanicsburg, PA 17055-4351 | 2005-09-16 |
| 1649738832 | Deborah Louise Austin | Counselor | 920 Century Dr, Mechanicsburg, PA 17055-8417 | 2019-03-06 |
| 1134696172 | Lindsey Renee Callahan | Counselor | 920 Century Dr, Mechanicsburg, PA 17055-8417 | 2018-10-29 |
| 1346724374 | Becky Leach | Licensed Practical Nurse | 920 Century Dr, Mechanicsburg, PA 17055-8417 | 2018-09-15 |
| 1023594165 | Matthew Kimble | Counselor | 920 Century Dr, Mechanicsburg, PA 17055-8417 | 2018-07-12 |
| 1720594146 | Jeannette Potami | Licensed Practical Nurse | 920 Century Dr, Mechanicsburg, PA 17055-8417 | 2017-12-21 |
| 1821496258 | Discovery House Cc, LLC | Clinic/Center | 920 Century Dr, Mechanicsburg, PA 17055-8417 | 2014-12-17 |
| 1831299973 | Frank John Di Prima | Psychologist | 920 Century Dr, Mechanicsburg, PA 17055-4351 | 2006-09-25 |
| 1265545453 | Jereme Ryan Gross | Physical Therapist | 920 Century Dr, Mechanicsburg, PA 17055-8417 | 2006-08-15 |
| 1073577565 | Neurological Surgery, Ltd. | Neurological Surgery | 920 Century Dr, Mechanicsburg, PA 17055-4351 | 2006-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240899 | Noah Robert Rhinehart | Specialist/Technologist | One College Drive Messiah College, Mechanicsburg, PA 17055 | 2020-03-13 |
| 1104470863 | Anntoinette Hobbs | Prosthetist | 19 Railroad Avenue, Mechanicsburg, PA 17055 | 2019-07-30 |
| 1467943324 | Christin M Brennan | Nurse Practitioner | 5401 Oxford Dr Apt 6, Mechanicsburg, PA 17055 | 2018-05-25 |
| 1851680656 | Perll Diagnostics Inc | Clinical Medical Laboratory | 5010 Ritter Rd, Suite 104, Mechanicsburg, PA 17055 | 2011-04-01 |
| 1538463377 | April Bowers | Counselor | 321 Gettysburg Pike, Mechanicsburg, PA 17055 | 2011-01-10 |
| 1639322951 | Capital Area Intermediate Unit | Clinic/Center | 405 E Winding Hill Road, Hill Top Academy, Mechanicsburg, PA 17055 | 2008-10-30 |
| 1548411648 | Susan Gabrovsek | Counselor | 960 Century Drive, Mechanicsburg, PA 17055 | 2008-10-07 |
| 1114180247 | Select Physical Therapy Holdings, Inc | Durable Medical Equipment & Medical Supplies | 4714 Gettysburg Road, Legal, Mechanicsburg, PA 17055 | 2008-07-09 |
| 1326255910 | Kathy C. Burson | Psychologist | 400 Alison Ave, Mechanicsburg, PA 17055 | 2007-05-16 |
| 1720290836 | Fields Family Dentistry, LLC | Dentist | 2101 Aspen Drive, Mechanicsburg, PA 17055 | 2007-05-03 |
| Find all providers in zip 17055 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332726 | Robert J Schlegel | Neurological Surgery | 2005 Technology Pkwy Ste 400, Mechanicsburg, PA 17050-9413 | 2006-01-27 |
| 1649265547 | Roger Harold Ostdahl | Neurological Surgery | 920 Century Dr, Mechanicsburg, PA 17055-4351 | 2005-09-16 |
| 1427391002 | William K Jens | Neurological Surgery | 2005 Technology Pkwy Ste 400, Mechanicsburg, PA 17050 | 2013-04-01 |
| 1073577565 | Neurological Surgery, Ltd. | Neurological Surgery | 920 Century Dr, Mechanicsburg, PA 17055-4351 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754510 | Isabela Marlene Tetino | Neurological Surgery | 1029 Maplewood Dr, Canonsburg, PA 15317-6058 | 2019-11-08 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1003475120 | Michael Bradley Avery | Neurological Surgery | 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5211 | 2019-06-12 |
| 1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1083002661 | Excela Health Physician Practices, Inc. | Neurological Surgery | 100 Excela Health Dr Ste 203b, Latrobe, PA 15650-9001 | 2015-01-05 |
| 1780006874 | Donald Reigel | Neurological Surgery | 1139 Links Way, Gibsonia, PA 15044-7725 | 2014-01-09 |
| 1962832782 | Ronald Larry Paul | Neurological Surgery | 5550 Nursery Road, Dover, PA 17315 | 2013-11-14 |
| 1457787434 | Allegheny Clinic | Neurological Surgery | 575 Coal Valley Rd Ste 260, Clairton, PA 15025-3716 | 2013-09-23 |
| 1144666348 | Sean Patrick Polster | Neurological Surgery | 203 Lothrop St Ste 521, Pittsburgh, PA 15213-2548 | 2013-05-14 |
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| City | MECHANICSBURG |
| Zip Code | 17055 |
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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.