KATHLEEN MARIE MOE


Address: 45 Thomas Johnson Drive, Suite 209, Frederick, MD 21702
Phone: 3016626755

KATHLEEN MARIE MOE (NPI# 1003073958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003073958
Entity Type Individual
Full Name KATHLEEN MARIE MOE
Credential MD
Practice Address 45 Thomas Johnson Drive
Suite 209
Frederick
MD 21702
Practice Telephone 3016626755
Mailing Telephone 3016626755
Enumeration Date 2008-05-19
Last Update Date 2012-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology D63488 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 45 THOMAS JOHNSON DRIVE
SUITE 209
City FREDERICK
State MD
Zip Code 21702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376542076 Frederick Surgical Center, LLC Clinic/Center 45 Thomas Johnson Drive, Suite 207, Frederick, MD 21702 2005-07-15
1386603629 Foris Surgical Group, LLP Surgery 45 Thomas Johnson Drive, Suite 211, Frederick, MD 21702 2006-03-23
1457320046 Steven J. Brand Surgery 45 Thomas Johnson Drive, Suite 211, Frederick, MD 21702 2006-03-16
1649249418 Mark E. Artusio Surgery 45 Thomas Johnson Drive, Suite 211, Frederick, MD 21702 2006-03-15
1790755783 Carey Liana Cox Nurse Anesthetist, Certified Registered 45 Thomas Johnson Drive, Suite 207, Frederick, MD 21702-4425 2006-01-24
1538158977 Chevy Chase Anesthesia LLC Anesthesiology 45 Thomas Johnson Drive, Suite 207, Frederick, MD 21070-4490 2005-10-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073129714 Rita Akowuah Nurse Practitioner 1302 Baker Place East Apt 14, Frederick, MD 21702 2020-09-18
1912416272 Morgan Nicely Behavior Technician 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 2017-09-29
1154840494 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 2017-09-19
1831617471 Hazel Elizabeth Gill Physical Therapy Assistant 2007 Butterfield Overlook, Frederick, MD 21702 2017-09-05
1831610161 William Haynes Nurse Practitioner 103 Water Land Ct., Frederick, MD 21702 2017-06-27
1497299333 Timothy Stimach Pharmacist 1430b W Patrick St, Frederick, MD 21702 2016-12-12
1184167405 Maryland Nutrition and Diet Services, L.L.C. Dietitian, Registered 1301 W. 7th Street, No. 1607, Frederick, MD 21702 2016-11-18
1649649468 Oluwakemi Olubunmi Osidele Nurse Practitioner 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 2015-09-22
1841678562 Ventzislava Hristova Spec/Tech, Pathology 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 2015-05-14
1023404571 Mychal Lynn Pilia Advanced Practice Midwife 7420 Hayward Road, Suite 104, Frederick, MD 21702 2015-04-11
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184129975 Swetcha Lankapalli Dermatology 45 Thomas Johnson Dr Ste 209, Frederick, MD 21702-4490 2018-03-26
1588806616 Jonathan Richard Van Meter Dermatology 63 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4384 2009-04-06
1649435694 Frederick Dermatology Associates LLC Dermatology 45 Thomas Johnson Dr, Frederick, MD 21702-4425 2008-07-18
1063695005 Warner & Vanmeter M.d.pa Dermatology 63 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4384 2007-12-13
1962583955 Elizabeth Ann Liotta Dermatology 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 2006-10-18
1114039377 Jen-john Inc Dermatology 68 Thomas Johnson Dr, Suite C, Frederick, MD 21702 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336748508 Mana Dermatology LLC Dermatology 7500 Greenway Center Dr Ste 1220, Greenbelt, MD 20770-3502 2020-10-20
1922615509 Dr. G Laser and Med Spa LLC Dermatology 11089 Resort Rd, Ellicott City, MD 21042-2073 2020-09-28
1669099321 Consonant Healing Associates of De LLC Dermatology 909 Ridgebrook Rd Ste 220, Sparks, MD 21152-9476 2020-06-29
1366074023 Consonant Healing, LLC Dermatology 1370 Lamberton Dr Ste 16, Silver Spring, MD 20902-3422 2020-02-10
1366900235 Sarah Herdeman Dermatology 173 Saint Patricks Dr Ste 201, Waldorf, MD 20603-5531 2019-03-08
1710450408 Givonshy Smith Dermatology 10478 Campus Way S # 185, Upper Marlboro, MD 20774-1304 2019-01-06
1679040208 Ebony Nelson Dermatology 6031 Liberty Rd, Gwynn Oak, MD 21207-6206 2018-11-01
1033659164 Eternal Dermatology and Aesthetic Center LLC Dermatology 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 2017-03-08
1598111254 Alyssa Klein Dermatology 1447 York Rd Ste 301, Lutherville Timonium, MD 21093-6022 2016-05-11
1265896633 George Olen Denny Dermatology 601 N Caroline St Ste 8072, Baltimore, MD 21287-0006 2016-04-11
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Competitor

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City FREDERICK
Zip Code 21702

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Dataset Information

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.

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