STEVEN MOORE (NPI# 1962515395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962515395 |
| Entity Type | Individual |
| Full Name | STEVEN MOORE |
| Credential | PA |
| Practice Address |
908 Hillcrest Pkwy Dublin GA 31021-4206 |
| Practice Telephone | 4782727411 |
| Practice Fax Number | 4782749809 |
| Mailing Telephone | 4782727411 |
| Mailing Fax Number | 4782749809 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004555 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00411777 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154603793 | Steven Paul Moore | Counselor | 1546 First St, Napa, CA 94559-0841 | 2011-09-09 |
| 1548567209 | Steven Moore | Counselor | 400 E Simpson St Ste 106, Lafayette, CO 80026-2359 | 2011-02-16 |
| 1922238377 | Steven R. Moore Jr. | Dentist | 6962 Tylersville Rd., West Chester, OH 45069 | 2009-07-20 |
| 1447409248 | Steven Michael Moore | Naturopath | 20 Technology Dr Unit 8, Brattleboro, VT 05301 | 2008-09-17 |
| 1114181351 | Steven Charles Moore | Counselor | 8131 Governor Ritchie Hwy, Suite G, Pasadena, MD 21122-6940 | 2008-07-16 |
| 1124163423 | Steven J Moore | Dentist | 13105 Jamboree Rd, Tustin, CA 92782-9150 | 2007-02-21 |
| 1750425765 | Steven Douglas Moore | Chiropractor | 1722 Nederland Ave, Nederland, TX 77627-5129 | 2007-02-16 |
| 1114098316 | Steven Vincent Moore | Specialist | 19 Upper Ragsdale Dr Ste 150, Monterey, CA 93940-7881 | 2006-11-11 |
| 1023114097 | Steven Michael Moore | Pediatrics | 13131 66th St, Largo, FL 33773-1812 | 2006-09-16 |
| 1417914755 | Steven Richard Moore | Physical Therapist | 3110 E Cleveland, Suite A5, Caldwell, ID 83605 | 2006-04-28 |
| Street Address |
908 HILLCREST PKWY |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142353 | Monty Bruce Shuman | Family Medicine | 908 Hillcrest Pkwy, Dublin, GA 31021-4206 | 2005-08-25 |
| 1043786221 | Marsha M Lewis | Dietitian, Registered | 908 Hillcrest Pkwy, Dublin, GA 31021-4206 | 2018-10-16 |
| 1962902619 | Angela Denise Adams | Nurse Practitioner | 908 Hillcrest Pkwy, Dublin, GA 31021-4206 | 2018-02-20 |
| 1780949727 | Berrien Raymond Waters | Family Medicine | 908 Hillcrest Pkwy, Dublin, GA 31021-4206 | 2012-07-05 |
| 1083839161 | Kirkland Bain Kolbie | Family Medicine | 908 Hillcrest Pkwy, Dublin, GA 31021-4206 | 2007-04-16 |
| 1790804268 | Medical Center, LLP | Clinic/Center | 908 Hillcrest Pkwy, Dublin, GA 31021-4206 | 2007-03-28 |
| 1821030867 | Jeri L. Miller | Emergency Medicine | 908 Hillcrest Pkwy, Dublin, GA 31021 | 2006-06-12 |
| 1831184944 | Teresa L Hatten | Internal Medicine | 908 Hillcrest Pkwy, Dublin, GA 31021-4206 | 2005-09-14 |
| 1740273549 | William Maxwell Duke | Family Medicine | 908 Hillcrest Pkwy, Dublin, GA 31021-4206 | 2005-08-26 |
| 1386637189 | Mark J Samson | Family Medicine | 908 Hillcrest Pkwy, Dublin, GA 31021-4206 | 2005-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| 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 |
|---|---|---|---|---|
| 1255954988 | Lamson Do Nguyen | Physician Assistant | 8611 Beverly Ln, Dublin, CA 94568-1216 | 2020-05-28 |
| 1508407842 | Rachel De Rosa | Physician Assistant | 7269 Golden Pl, Dublin, OH 43017-2463 | 2019-10-07 |
| 1154894210 | Elizabeth Ann Boehme | Physician Assistant | Dublin Family Medicine, 118 Broad St., Dublin, VA 24084-3211 | 2019-01-10 |
| 1710486485 | Ohio Pa Services, LLC | Physician Assistant | 2783 Martin Rd # 212, Dublin, OH 43017-2096 | 2018-02-07 |
| 1437689361 | Jessica Winta | Physician Assistant | 7554 Dublin Blvd, Dublin, CA 94568-4365 | 2017-06-13 |
| 1376081208 | Stephanie Sin Eng | Physician Assistant | 11823 Kilcullin Ct, Dublin, CA 94568-2352 | 2017-02-11 |
| 1902359383 | Ohio Psychiatric Services LLC. | Physician Assistant | 7446 Barrister Dr, Dublin, OH 43016-7019 | 2016-08-02 |
| 1588017362 | Morgan L Hall | Physician Assistant | 100 Medical Dr Ste 200, Dublin, GA 31021-2561 | 2016-07-18 |
| 1649641523 | Chelsea Blanche Hayman | Physician Assistant | 7281 Sawmill Rd Ste 100, Dublin, OH 43016-9021 | 2015-10-17 |
| 1063827194 | Karla Lyn Grimes | Physician Assistant | 4881 Cougar Trail Rd, Dublin, VA 24084-3918 | 2014-06-27 |
| Find all providers in DUBLIN | ||||
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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.