MOORE PRIMARY CARE GERIATRICS APRN-CNP, PC (NPI# 1003227547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003227547 |
| Entity Type | Organization |
| Organization Name | MOORE PRIMARY CARE GERIATRICS APRN-CNP, PC |
| Practice Address |
1400 Se 4th St Ste C Moore OK 73160-7329 |
| Practice Telephone | 4057997400 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-07-31 |
| Authorized Official Name | REBECCA CARTER (OWNER) |
| Authorized Official Telephone | 4057997400 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1400 SE 4TH ST STE C |
| City | MOORE |
| State | OK |
| Zip Code | 73160-7329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063536233 | Moore Primary Care Inc | Family Medicine | 1400 Se 4th St, Ste H, Moore, OK 73160-7328 | 2007-03-16 |
| 1356955017 | Joe Khong | Counselor | 1400 Se 4th St, Moore, OK 73160-7329 | 2020-09-01 |
| 1811308356 | Moore Family Medicine Associates Aprn-cnp, PC | Family Medicine | 1400 Se 4th St, Ste D, Moore, OK 73160-7329 | 2014-05-19 |
| 1124448956 | Michael Ross Dunn | Counselor | 1400 Se 4th St, Moore, OK 73160-7329 | 2014-04-19 |
| 1659618569 | Maryam Butler | Physician Assistant | 1400 Se 4th St, Suite H, Moore, OK 73160-7329 | 2013-01-11 |
| 1558620922 | Rebecca Kathleen Carter | Nurse Practitioner | 1400 Se 4th St, Suite H, Moore, OK 73160-7329 | 2012-05-04 |
| 1447521539 | Sasa K Jackson | Physician Assistant | 1400 Se 4th St, Ste H, Moore, OK 73160-7329 | 2012-01-20 |
| 1871863712 | Kay B Rochester | Physician Assistant | 1400 Se 4th St, Suite H, Moore, OK 73160-7329 | 2012-01-10 |
| 1578854576 | Moore Primary Care | Clinic/Center | 1400 Se 4th St, Suite H, Moore, OK 73160-7329 | 2011-04-25 |
| 1104116508 | Carters Drug Inc | Pharmacy | 1400 Se 4th St, Suite H, Moore, OK 73160 | 2011-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
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| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871148908 | Primary Care At Home LLC | Family Medicine | 9526 S 86th East Ave, Tulsa, OK 74133-6415 | 2019-08-06 |
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1558816850 | Spectrum Healthcare Solutions, Pllc | Family Medicine | 1707 Wheaton Dr, Norman, OK 73071-7319 | 2016-08-17 |
| 1902221492 | Housecalls Transitional Care Associates | Family Medicine | 4311 S Prospect, Oklahoma City, OK 73129 | 2014-02-20 |
| 1952656530 | Alexander Frank Md, Pllc | Family Medicine | 343205 E 1020 Rd, Meeker, OK 74855-9191 | 2012-07-19 |
| 1871733519 | Mjr Enterprises LLC | Family Medicine | 3800 W. 71st, Inverness Village, Tulsa, OK 74132 | 2009-02-20 |
| 1316958218 | Eugene Allen Steinberg | Family Medicine | 921 Ne 10th St, Ste 4b113c, Oklahoma City, OK 73104 | 2006-08-10 |
| 1497761159 | Long Term Care Specialists, Inc | Family Medicine | 8900 Silver Hill Dr, Oklahoma City, OK 73132-3316 | 2006-08-01 |
| 1588633028 | John Robert Gray Jr. | Family Medicine | 902 E Pine St, Tulsa, OK 74106-5928 | 2006-03-16 |
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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.