CARL MOORE (NPI# 1083698468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083698468 |
| Entity Type | Individual |
| Full Name | CARL MOORE |
| Credential | MD |
| Practice Address |
2410 Atherholt Rd Lynchburg VA 24501-2148 |
| Practice Telephone | 4342005252 |
| Practice Fax Number | 4342002862 |
| Mailing Telephone | 4342005252 |
| Mailing Fax Number | 4342002862 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2014-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0101039425 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010312973 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033475850 | Carl Moore | Counselor | 1901 Mlk Jr Way S, Seattle, WA 98144-4801 | 2012-04-05 |
| 1205107877 | Carl Linard Moore | Counselor | 3200 Juanipero Way, Medford, OR 97504-8580 | 2012-01-13 |
| 1972610400 | Carl Moore | Physical Therapist | 2400 Hospital Road, Tuskegee, AL 36083 | 2006-08-23 |
| Street Address |
2410 ATHERHOLT RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255312609 | Kenneth E Saum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-10 |
| 1841808052 | Connor David Middlekauff | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-07-14 |
| 1235762915 | Jennifer L Mccoy | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-02-20 |
| 1043855356 | Virginia Leigh Blevins | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-11-11 |
| 1831747955 | Blakley Walker Sproles | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-09-02 |
| 1508411323 | James Mark Marcouillier | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-08-08 |
| 1962062109 | Taylor Grasser | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-19 |
| 1144880782 | Centra Medical Group, LLC | Surgery | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-17 |
| 1669949277 | Abigail Jean Newton | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2018-11-01 |
| 1245707140 | John N Smiley | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2018-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184608564 | Thomas Nygaard | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-30 |
| 1518941905 | Peter O'brien | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-30 |
| 1235112764 | Daniel Carey | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533375 | Sentara Medical Group | Internal Medicine | 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2409 | 2019-11-20 |
| 1588167944 | Loudoun Cardiology Plc | Internal Medicine | 24430 Stone Springs Blvd Ste 500, Dulles, VA 20166-2247 | 2018-03-13 |
| 1659889533 | Cardiac Cin of Northern Virginia LLC | Internal Medicine | 1900 Campus Commons Dr Ste 100c, Reston, VA 20191-1561 | 2018-01-13 |
| 1114287117 | Ashesh N. Buch | Internal Medicine | 111 Medical Pkwy Fl 2, Chesapeake, VA 23320-0302 | 2012-05-23 |
| 1538429857 | Sentara Medical Group | Internal Medicine | 3920 Bridge Rd # A, Ste 202, Suffolk, VA 23435-1117 | 2012-05-21 |
| 1790044311 | Sentara Medical Group | Internal Medicine | 713 Volvo Pkwy Ste 200, Chesapeake, VA 23320-1614 | 2012-05-16 |
| 1053546846 | Dhavalkumar B Patel | Internal Medicine | 7505 Right Flank Rd Ste 700, Mechanicsville, VA 23116-3865 | 2009-05-21 |
| 1841435377 | Maryview Hospital | Internal Medicine | 5838 Harbour View Blvd Ste 270, Suffolk, VA 23435-3602 | 2008-12-12 |
| 1770523532 | Patrick Francis Adrian Magee | Internal Medicine | 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 | 2006-06-08 |
| 1881680619 | Frans A Vossenberg | Internal Medicine | 1201 Sam Perry Blvd, Suite 280, Fredericksbrg, VA 22401-4490 | 2005-09-27 |
| Find all providers with the same taxonomy | ||||
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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.