CHARLES A MOORE (NPI# 1003816372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003816372 |
| Entity Type | Individual |
| Full Name | CHARLES A MOORE |
| Credential | MD |
| Practice Address |
123 N 19th St Suite 201 Middlesboro KY 40965-2865 |
| Mailing Address |
Po Box 309 Middlesboro KY 40965-0309 |
| Practice Telephone | 6062480090 |
| Practice Fax Number | 6062488803 |
| Mailing Telephone | 6062480090 |
| Mailing Fax Number | 6062488803 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2010-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 22757 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BLUE CROSS OF KY | 000000062741 | 01 |
| KY | BLACK LUNG | 017423400 | 01 |
| KY | RAIL ROAD MEDICARE | 110196198 | 01 |
| TN | BLUE CROSS OF TENNESSEE | 000051203 | 01 |
| KY | MEDICARE GROUP NPI | 1659551935 | 01 |
| VA | VA MEDICAID | 006064205 | 01 |
| KY | 1003816372 | 05 | |
| KY | CHA | 1143 | 01 |
| KY | UMWA | 1326780 | 01 |
| VA | BLUE CROSS OF VA | 000000251586 | 01 |
| KY | DEPARTMENT OF LABOR | 1635649000 | 01 |
| KY | 64227572 | 05 | |
| TN | TENNESSE MEDICAID | 4176527 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841790995 | Charles Edward Moore II | Case Manager/Care Coordinator | 2024 Te Ata Drive, Ada, OK 74820 | 2018-02-15 |
| 1114336310 | Charles Moore | Dentist | 1710 Trolley Rd Ste B, Summerville, SC 29485-8281 | 2014-08-13 |
| 1467620799 | Charles Robert Moore | Anesthesiology | 6129 Cottage Dr, Haslett, MI 48840-8939 | 2008-02-20 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1346452620 | Charles Maurice Moore | Counselor | 1516 Kelly Ct, Conover, NC 28613-7801 | 2007-05-07 |
| 1649497561 | Charles E Moore | Specialist | 1210 Miccosukee Rd, Tallahassee, FL 32308-5076 | 2007-04-20 |
| 1215053426 | Charles Robert Moore | Ophthalmology | 926 N Wilcrest Dr, Houston, TX 77079-3504 | 2007-03-21 |
| 1629020011 | Charles Henry Moore | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-05-16 |
| 1629038609 | Charles Edward Moore Jr. | Family Medicine | 2407 Helton Dr Ste B, Florence, AL 35630-1067 | 2006-03-24 |
| 1902877012 | Charles S Moore | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-01-27 |
| Street Address |
123 N 19TH ST SUITE 201 |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548673155 | Marcinia Michelle Bailey | Nurse Practitioner | 123 N 19th St, Suite A201, Middlesboro, KY 40965-2865 | 2014-06-11 |
| 1699195883 | Aimee Nicole Brock | Nurse Practitioner | 123 N 19th St, Middlesboro, KY 40965-2865 | 2014-04-26 |
| 1083996532 | Lynda Lynn Browning | Nurse Practitioner | 123 N 19th St, Middlesboro, KY 40965-2865 | 2011-09-11 |
| 1659551935 | Charles A Moore | Clinic/Center | 123 N 19th St, Suite 201, Middlesboro, KY 40965-2865 | 2007-11-05 |
| 1396924544 | Bruce T. Wilson,d.m.d., Psc | Dentist | 123 N 19th St, Middlesboro, KY 40965-2865 | 2007-10-24 |
| 1225220379 | Timothy L. Gardner, Dpm,pc | Podiatrist | 123 N 19th St, Middlesboro, KY 40965-2865 | 2007-08-13 |
| 1114133055 | Drs Rose and Thomas | Surgery | 123 N 19th St, Middlesboro, KY 40965 | 2007-05-15 |
| 1942250592 | Comprehensive Home Healthcare Services LLC | Case Management | 123 N 19th St, Suite 5, Middlesboro, KY 40965-2865 | 2006-05-12 |
| 1619978327 | Robert Lee Thomas Iv | Surgery | 123 N 19th St, Suite B301, Middlesboro, KY 40965-2865 | 2005-08-03 |
| 1881694271 | Medical Services of America Inc | Emergency Response System Companies | 123 N 19th St, Middlesboro, KY 40965-2865 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387064 | Christopher Bruce Ellison | Social Worker | 809 19th Street, Middlesboro, KY 40965 | 2019-10-14 |
| 1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
| 1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
| 1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
| 1184164287 | Wilson Jeffrey | Occupational Therapist | Address: 235 New Wilson Lane, Middlesboro, KY 40965 | 2017-03-08 |
| 1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
| 1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
| 1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
| Find all providers in zip 40965 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932415882 | Appalachian Regional Healthcare, Inc. | Internal Medicine | 3004 Cumberland Avenue, Suite 3, Middlesboro, KY 40965 | 2010-08-28 |
| 1871693960 | Cheung Shin | Internal Medicine | 2317 Cumberland Ave, Middlesboro, KY 40965-2834 | 2006-09-25 |
| 1710085238 | Neil G Barry IIi Md Inc | Internal Medicine | 3004 W Cumberland Avenue, Medical Arts Building, Middlesboro, KY 40965 | 2006-09-20 |
| 1457369027 | Zaher Iskandarani | Internal Medicine | 125 W. Lothbury Ave., Middlesboro, KY 40965-4096 | 2006-08-03 |
| 1265407241 | Nitinkumar K Patel | Internal Medicine | 3501 W Cumberland Ave, Middlesboro, KY 40965 | 2006-02-22 |
| 1235125972 | Neil G Barry IIi | Internal Medicine | 3004 Cumberland Ave, Medical Arts Bldg, Middlesboro, KY 40965-2343 | 2005-09-27 |
| 1154315075 | Jeremiah Hilton Brooks IIi | Internal Medicine | 3603 Cumberland Ave, Middlesboro, KY 40965-2613 | 2005-09-07 |
| 1316365919 | Brooke Villanueva Laughter | Internal Medicine | 3600 Cumberland Ave, Middlesboro, KY 40965 | 2014-04-01 |
| 1184605966 | Thomas N Epperson IIi | Internal Medicine | 3004 Cumberland Ave, Medical Arts Bldg, Middlesboro, KY 40965-2343 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587555 | Isaiah House Inc | Internal Medicine | 975 Hustonville Rd Ste 9, Danville, KY 40422-2165 | 2020-10-30 |
| 1245830017 | James Duncan Md Consulting Service | Internal Medicine | 109 Venetian Way, Danville, KY 40422-9028 | 2020-10-29 |
| 1689280216 | Hmps Internal Medicine of West Louisville Pllc | Internal Medicine | 2730 Brownsboro Rd Apt 164, Louisville, KY 40206-1268 | 2020-09-18 |
| 1548887086 | Neck Back & Knee Center Inc | Internal Medicine | 7560 Us 42 Ste A, Florence, KY 41042-1908 | 2020-07-01 |
| 1295351484 | Commonwealth Health Corporation, Inc | Internal Medicine | 350 Park St Ste 102, Bowling Green, KY 42101-1700 | 2020-06-23 |
| 1518594282 | Integra-telemedicine | Internal Medicine | 4108 Clearwater Way, Lexington, KY 40515-6000 | 2020-03-24 |
| 1356985907 | Peter Aliu Md Pllc | Internal Medicine | 103 Stable Way, Nicholasville, KY 40356-8047 | 2019-11-06 |
| 1609420272 | Telemedicine House Calls, LLC | Internal Medicine | 2161 S Boundary Rd, Radcliff, KY 40160-9686 | 2019-07-31 |
| 1174085203 | New Hope Recovery LLC | Internal Medicine | 2503 Bush Ridge Dr Ste A, Louisville, KY 40245-5885 | 2019-04-06 |
| 1104383322 | New Dawn 365 Centers Pllc | Internal Medicine | 2101 Wiltshire Pl, Lexington, KY 40515-1167 | 2019-02-24 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
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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.