MR. NATHAN W. MOORE (NPI# 1083650287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083650287 |
| Entity Type | Individual |
| Full Name | MR. NATHAN W. MOORE |
| Credential | M.D. |
| Practice Address |
2009 5th St Monroe WI 53566-1546 |
| Mailing Address |
515 22nd Ave Monroe WI 53566-1569 |
| Practice Telephone | 6083242000 |
| Mailing Telephone | 6083241000 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 51442 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | WI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760960561 | Nathan Allen Moore | Behavior Technician | 510 Buckingham Pl, Shorewood, IL 60404-0565 | 2018-08-02 |
| 1841439890 | Nathan Arnold Moore | Chiropractor | 4634 E. Marginal Way S., #c-120, Seattle, WA 98134 | 2009-02-16 |
| 1033228887 | Nathan Seth Moore | Dentist | 2313 Santa Clara J1, Santa Clara, UT 84765-5472 | 2006-08-29 |
| 1093829822 | Nathan L Moore | Family Medicine | 22 Clinic Drive, Paris, KY 40361 | 2006-08-18 |
| 1497750129 | Nathan M Moore | Family Medicine | 991 Route 19 N Ste B, Waterford, PA 16441-9739 | 2005-06-17 |
| 1447756556 | Nathan Jon Moore | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195 | 2018-04-05 |
| 1154846442 | Nathan Moore | Nurse Practitioner | 12899 Walsingham Rd, Largo, FL 33774-3537 | 2017-08-08 |
| 1093154254 | Nathan Herling Moore | Internal Medicine | 3009 N Ballas Rd, Ste 387c, Saint Louis, MO 63131-2322 | 2013-06-21 |
| 1346575081 | Nathan Thomas Moore | Specialist | 18444 N 25th Ave, Ste 210, Phoenix, AZ 85023-1264 | 2009-10-14 |
| Street Address |
2009 5TH ST |
| City | MONROE |
| State | WI |
| Zip Code | 53566-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235195835 | Angela M Clark | Physician Assistant | 2009 5th St, Monroe, WI 53566-1546 | 2006-04-22 |
| 1700955135 | Joshua L. Morrison | Psychiatry & Neurology | 2009 5th St, Monroe, WI 53566-1546 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154855740 | Georgia Urology Pa | Urology | 2161 W Spring St., Suite C, Monroe, GA 30655-3196 | 2017-04-20 |
| 1184089989 | Georgia Urology Pa | Urology | 2151b West Spring St, Ste 210, Monroe, GA 30655-3115 | 2015-12-21 |
| 1629267216 | Twenty First Century Urology Pllc | Urology | 47 Mansion Ridge Blvd, Monroe, NY 10950-5569 | 2007-10-18 |
| 1376629014 | Alan Howard Lieberman | Urology | 52 Constitution Dr, Monroe, NJ 08831-7935 | 2006-10-27 |
| 1760418396 | Urology Clinic of Northeast Louisiana - A Medical Corporation | Urology | 711 Saint John Street, Monroe, LA 71201-8435 | 2006-06-24 |
| 1891737284 | John Michael Cage | Urology | 711 Saint John St, Monroe, LA 71201-8435 | 2006-06-12 |
| 1578534384 | John L Damiani | Urology | 214 E Elm Ave Ste 101, Monroe, MI 48162 | 2006-01-30 |
| 1891773297 | Richard Guy Sowden | Urology | 1503 E Franklin St, Monroe, NC 28112-5161 | 2006-01-05 |
| 1669474128 | Don F Marx | Urology | 3510 Magnolia Cv, Suite 170, Monroe, LA 71203-2372 | 2005-08-15 |
| 1003816166 | F. Peter Nicholson | Urology | 2161 W Spring St Ste C, Monroe, GA 30655-3196 | 2005-07-29 |
| Find all providers in MONROE | ||||
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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.