MARK DANIEL MOORE (NPI# 1073031019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073031019 |
| Entity Type | Individual |
| Full Name | MARK DANIEL MOORE |
| Credential | MA SCHOOL PSYCHOLOGY |
| Practice Address |
100 Miner St Crescent City IL 60928-8092 |
| Practice Telephone | (815) 683-2662 |
| Mailing Telephone | 8156832662 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
1986210 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114462017 | Mark Christopher Moore | Anesthesiologist Assistant | 8000 E Maplewood Ave Bldg 5, Ste. 200, Greenwood Village, CO 80111-4766 | 2016-12-30 |
| 1699981183 | Mark Wayne Moore | Dentist | 2301 12th St, Meridian, MS 39301-3934 | 2007-05-14 |
| 1588747588 | Mark W Moore | Physical Therapist | 6036 N 19th Ave Ste 303, Phoenix, AZ 85015 | 2006-10-23 |
| 1346338530 | Mark Douglas Moore | Optometrist | 2020 N Tyler Rd Ste 124, Wichita, KS 67212-4916 | 2006-10-11 |
| 1730289935 | Mark Edward Moore | Optometrist | 3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 | 2006-09-25 |
| 1043328800 | Mark D Moore | Optometrist | 504 Peterson Ave S, Douglas, GA 31533-5254 | 2006-08-29 |
| 1104934462 | Mark Stephen Moore | Dentist | 5501 Matlock Rd, Arlington, TX 76018-1534 | 2006-08-28 |
| 1225022833 | Mark Phillip Moore | Dentist | 2048 Windward Ln, Gainesville, GA 30501-7418 | 2005-09-09 |
| 1710527130 | Mark Moore | Community Health Worker | 1114 Lane 12, Lovell, WY 82431-9555 | 2020-01-14 |
| 1467940049 | Mark Andrew Moore | Pharmacist | 1102 N Gateway Ave, Rockwood, TN 37854-4109 | 2018-04-29 |
| Street Address |
100 MINER ST |
| City | CRESCENT CITY |
| State | IL |
| Zip Code | 60928-8092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275620544 | Crescent City Community Unit School District #275 | Local Education Agency (LEA) | 600 South Street, Crescent City, IL 60928 | 2006-10-06 |
| 1770751067 | Crescent Iroquois Cusd 249 | Local Education Agency (LEA) | 600 South Street, Crescent City, IL 60928 | 2008-02-20 |
| 1346475092 | Crescent-iroquois Ems & Ambulance | Ambulance | 110 N Maple, Crescent City, IL 60928-0055 | 2009-05-26 |
| 1831224963 | Rodney Earl Yergler | Dentist | 307 A Main Street, Crescent City, IL 60928-0089 | 2007-02-22 |
| 1174856009 | Kristin Nicole Laird | Hearing Instrument Specialist | 503 E. Main St., Crescent City, IL 60928-0191 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490117 | Erin Alayna Brunton | Nurse Practitioner | 131 Breakwater Dr, Crescent City, CA 95531-8634 | 2020-09-02 |
| 1487278628 | Marcia Marie Long | Technician | 454 Georgetown Shortcut Rd, Crescent City, FL 32112-4504 | 2020-06-03 |
| 1366072571 | Redwood Focused Care Clinics | Internal Medicine | 286 M St Ste B, Crescent City, CA 95531-4115 | 2020-01-16 |
| 1366082463 | Stallant Medical Group Inc | Family Medicine | 785 E Washington Blvd Ste 8, Crescent City, CA 95531-8372 | 2020-01-07 |
| 1679115000 | Del Norte Healthcare District | Clinic/Center | 550 E Washington Blvd Ste 400, Crescent City, CA 95531-8161 | 2019-10-17 |
| 1669038469 | Alissa Michelle Oulman-kirkpatrick | Lactation Consultant, Non-RN | 286 M St Ste C, Crescent City, CA 95531-4115 | 2019-05-16 |
| 1548725237 | John Michael Horner | Counselor | 455 Kst, Crescent City, CA 95531 | 2019-02-06 |
| 1104393990 | Richard Martin Pearcey | Driver | 2480 Maciel Ln, Crescent City, CA 95531-8633 | 2018-10-30 |
| 1205311685 | Coastal Cab Company LLC | Taxi | 1250 6th St, Crescent City, CA 95531-2803 | 2018-10-01 |
| 1174000285 | Eric Black | Pharmacist | 657 Us Highway 101 N, Crescent City, CA 95531-2306 | 2018-07-20 |
| Find all providers in CRESCENT CITY | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679428 | Jessica Scharf | Psychologist | 8502 Bailey Rd # 63, Darien, IL 60561-5333 | 2020-11-06 |
| 1225637283 | Nicole Maggard | Psychologist | 137 Somerset Rd, Willowbrook, IL 60527-5470 | 2020-10-21 |
| 1033724232 | Shadequia Davis | Psychologist | 402 Richards St, Joliet, IL 60433-2218 | 2020-09-14 |
| 1043823123 | Lindsay Ann Franklin | Psychologist | 436 Coral Dr, Morton, IL 61550-8505 | 2020-08-28 |
| 1053923995 | Annie Biehl | Psychologist | 9750 Soreng Ave, Schiller Park, IL 60176-2105 | 2020-08-21 |
| 1811508989 | Caroline Cook | Psychologist | 246 S Fair Ave, Elmhurst, IL 60126-3600 | 2020-08-12 |
| 1760009955 | Tammy Carroll | Psychologist | 3801 Lake Ct, Trenton, IL 62293-2938 | 2020-07-03 |
| 1316568629 | Denisa Kerekes | Psychologist | 1536 Cedarwood Ct, Gurnee, IL 60031-6346 | 2020-04-28 |
| 1740801174 | Jessica Berlinghof | Psychologist | 220 Greenwood Dr, Round Lake Park, IL 60073-3444 | 2020-04-27 |
| 1861038200 | Ease of Mind Pllc | Psychologist | 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 | 2019-11-20 |
| Find all providers with the same taxonomy | ||||
| City | CRESCENT CITY |
| Zip Code | 60928 |
Please comment or provide details below to improve the information on MARK DANIEL 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.