DEBORA MARIE MOORE (NPI# 1992798706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992798706 |
| Entity Type | Individual |
| Full Name | DEBORA MARIE MOORE |
| Other Name | DEBORA MOELLENBERNDT |
| Credential | PA C |
| Practice Address |
2342 Professional Pkwy Ste 310 Santa Maria CA 93455-6819 |
| Practice Telephone | 8059342488 |
| Practice Fax Number | 8059342480 |
| Mailing Telephone | 8059342488 |
| Mailing Fax Number | 8059342480 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.966 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA53892 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
101190 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700846730 | Debora Kay Moore | Urology | 1700 N Oregon St, Ste 560, El Paso, TX 79902-3584 | 2006-03-24 |
| Street Address |
2342 PROFESSIONAL PKWY STE 310 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93455-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831295831 | George H Wright | Physician Assistant | 2342 Professional Pkwy Ste 310, Santa Maria, CA 93455-6819 | 2006-09-16 |
| 1386668473 | Thomas M. Dawes Jr. | Family Medicine | 2342 Professional Pkwy Ste 310, Santa Maria, CA 93455-6819 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
| 1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
| 1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
| 1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
| 1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
| Find all providers in zip 93455 | ||||
| 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 |
|---|---|---|---|---|
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1043560915 | Kelly J. Piazza | Physician Assistant | 1510 E Main St Ste 101, Santa Maria, CA 93454-4826 | 2012-09-18 |
| 1205106200 | Margarethe Sattva Pappademos | Physician Assistant | 525 E Plaza Drive, Suite 200, Santa Maria, CA 93454-6954 | 2012-01-06 |
| 1407159429 | Jenny Oleta Andrews | Physician Assistant | 316 S Stratford Ave Ste B, Santa Maria, CA 93454 | 2010-12-14 |
| 1902022890 | Coast Family Practice | Physician Assistant | 607 Plaza Dr, Suite C201, Santa Maria, CA 93454-6944 | 2007-04-18 |
| 1497806921 | Laura Ann Rummel | Physician Assistant | 525 Plaza Dr Ste 200, Santa Maria, CA 93454-6954 | 2007-01-12 |
| 1407969835 | Mari Proksel | Physician Assistant | 117 West Bunny Avenue, Santa Maria, CA 93458-2805 | 2006-08-17 |
| 1255360772 | Dana J. Shaheen | Physician Assistant | 2271 S. Depot Street, Santa Maria, CA 93455 | 2006-06-30 |
| 1821080060 | Anne V Hall | Physician Assistant | 300 S Stratford Ave, Santa Maria, CA 93454-5903 | 2005-08-15 |
| 1972118768 | Sirena Sechslingloff | Physician Assistant | 220 S Palisade Dr Ste 203, Santa Maria, CA 93454-8903 | 2020-09-09 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93455 |
Please comment or provide details below to improve the information on DEBORA MARIE MOORE.
| 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.