LUKE TAE JONG MOORE (NPI# 1023452182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023452182 |
| Entity Type | Individual |
| Full Name | LUKE TAE JONG MOORE |
| Credential | M.D. |
| Practice Address |
3930 Northwoods Dr Arden Hills MN 55112 |
| Mailing Address |
8170 - 33rd Ave S Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6515238500 |
| Practice Fax Number | 6515238584 |
| Mailing Fax Number | 9528538727 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2018-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 2017-01568 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Gresham Dr, Norfolk, VA 235071904 | 7573880324 | 7573880355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063962488 | Luke Moore | Technician, Other | 4243 Media Ln, Hartland, MI 48353-1330 | 2016-10-10 |
| 1700363900 | Luke Avery Moore | Chiropractor | 813 W Douglas Ave, Wichita, KS 67213-4704 | 2018-07-20 |
| 1457456378 | Luke Moore | Counselor | 1306 11th Ave, Greeley, CO 80631-3835 | 2006-09-14 |
| Street Address |
3930 NORTHWOODS DR |
| City | ARDEN HILLS |
| State | MN |
| Zip Code | 55112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912978362 | Norma J Cheesebrow | Nurse Practitioner | 3930 Northwoods Dr, Mail Stop 32800a, Arden Hills, MN 55112-6974 | 2006-02-01 |
| 1023620994 | Taylor Chiropractic Pllc | Chiropractor | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2020-08-20 |
| 1730679325 | Nadine Yacoub | Dentist | 3930 Northwoods Dr, Arden Hills, MN 55112 | 2018-05-18 |
| 1790294874 | Jennifer Susan Fury | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-09-21 |
| 1639698194 | Kathryn Lynn Dauble | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-09-15 |
| 1366975906 | Ryan William Russell | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-04-11 |
| 1205389624 | Calla Marie Hopeman | Registered Nurse | 3930 Northwoods Dr, Mail Stop 32800a, Arden Hills, MN 55112-6963 | 2016-08-02 |
| 1245681014 | Tswjfwm Vang | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2016-06-23 |
| 1326425737 | Ashley Bishop | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2015-05-05 |
| 1558763136 | Kathleen Ann Parker | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2014-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679545198 | Lauren B Baker | Ophthalmology | 4105 N Lexington Ave Ste 250, Mail Stop 33000a, Arden Hills, MN 55126-6181 | 2006-02-07 |
| 1386636173 | Todd W Gothard | Ophthalmology | 1210 County Road E W, Arden Hills, MN 55112-3783 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290486 | Eye Care Associates, Pa | Ophthalmology | 710 E 24th St Ste 101-201, Minneapolis, MN 55404-3840 | 2018-10-12 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1790228294 | Eye Associates of Central Minnesota Pa | Ophthalmology | 628 Roosevelt Rd, Suite 101, Saint Cloud, MN 56301-4867 | 2016-12-01 |
| 1093160491 | Christina Gillmor | Ophthalmology | 516 Delaware St Se Fl 9, Minneapolis, MN 55455-0356 | 2016-05-04 |
| 1861889776 | Michael Andrew Jordan | Ophthalmology | 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 | 2015-04-17 |
| 1467872390 | Luke Dolezal | Ophthalmology | 5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 | 2014-04-17 |
| 1811330939 | James Layer | Ophthalmology | 3708 Upton Ave S, Minneapolis, MN 55410-1237 | 2013-04-08 |
| 1093058158 | Hao Tang | Ophthalmology | 7760 France Ave S Ste 310, Edina, MN 55435 | 2013-03-27 |
| 1407112881 | Phillip Michael Armand Radke | Ophthalmology | 7450 France Ave S Ste 100, Edina, MN 55435-4799 | 2012-04-10 |
| 1023374964 | Sasha Strul | Ophthalmology | 701 25th Ave S Ste 300, Minneapolis, MN 55454-1443 | 2012-04-04 |
| Find all providers with the same taxonomy | ||||
| City | ARDEN HILLS |
| Zip Code | 55112 |
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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.