GEORGE C MOORE (NPI# 1104990654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104990654 |
| Entity Type | Individual |
| Full Name | GEORGE C MOORE |
| Credential | PA-C |
| Practice Address |
701 Park Ave # 08 Minneapolis MN 55415-1623 |
| Mailing Address |
3849 17th Ave S Minneapolis MN 55407-2830 |
| Practice Telephone | 6128732212 |
| Mailing Telephone | 6127287090 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10165 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174935423 | George Thomas Moore | Counselor | 1204 Connors Rd, Snohomish, WA 98290-9625 | 2014-05-21 |
| 1245517895 | George J Moore | Social Worker | 1445 Seacrest Ln Apt 5, Brookings, OR 97415-8133 | 2011-11-10 |
| 1275818171 | George Moore | Pharmacist | 304 Silver Grove St, Las Vegas, NV 89144-4104 | 2011-10-12 |
| 1477885770 | George Michael Moore | Dentist | 2002 45th St, Galveston, TX 77550 | 2010-02-11 |
| 1689882581 | George Henry Moore | General Practice | 8120 Cleburne Hwy, Granbury, TX 76049-2207 | 2007-05-21 |
| 1669551651 | George Bruce Moore | Dentist | 23203 56th Ave W, Mountlake Terrace, WA 98043-4715 | 2006-11-02 |
| 1588604110 | George Walter Moore | Internal Medicine | 1909 214th Street Se, Suite 211, Bothell, WA 98021 | 2006-06-08 |
| 1851340046 | George W Moore | Preventive Medicine | 96 Martin Ter, Glastonbury, CT 06033-2708 | 2006-05-08 |
| 1700378106 | George Moore | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114 | 2018-05-31 |
| 1407126683 | George L Moore | Dentist | 80 Soldiers Pass Rd, Sedona, AZ 86336-4782 | 2012-01-05 |
| Street Address |
701 PARK AVE # 08 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55415-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
| 1598326951 | Monazza Iqbal Chaudhry | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 | 2019-06-26 |
| 1760947196 | Brandon Haas | Pharmacist | 701 Park Ave Rll, Minneapolis, MN 55415 | 2019-02-11 |
| 1710474192 | Andrea Kramer | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-20 |
| 1750888640 | Alexandra Rose Coward | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-09 |
| 1194235861 | Gretchen Jane Vanderlinden-wang | Social Worker | Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 | 2017-10-06 |
| 1720501117 | Dominique Lacha Jones | Advanced Practice Midwife | 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 | 2017-07-18 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1215469689 | Michael Reitz | Student in an Organized Health Care Education/Training Program | 701 Park Avenue, B5.118, Minneapolis, MN 55415 | 2017-04-03 |
| Find all providers in zip 55415 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| 1932714037 | Kseniia Sosinovych | Physician Assistant | 615 E 16th St Apt 202, Minneapolis, MN 55404-1503 | 2020-09-15 |
| 1659986743 | Collin Jeffery Barry | Physician Assistant | 2220 E Franklin Ave Apt 315, Minneapolis, MN 55404-2284 | 2020-09-15 |
| 1568077626 | Alyssa Clements | Physician Assistant | 2211 Riverside Ave # 149, Minneapolis, MN 55454-1350 | 2020-09-14 |
| 1578178703 | Nicholas H Sorenson | Physician Assistant | 129 Melbourne Ave Se Apt 2, Minneapolis, MN 55414-3515 | 2020-09-14 |
| 1861016743 | Meredith Elise Lafond | Physician Assistant | 624 4th Ave Se Apt 2, Minneapolis, MN 55414-1625 | 2020-06-05 |
| 1477182053 | Hannah Grace Johnson | Physician Assistant | 3437 Chicago Ave, Minneapolis, MN 55407-2107 | 2020-04-05 |
| 1851921431 | Nasima Omar | Physician Assistant | 3321 Emerson Ave S, Minneapolis, MN 55408-3528 | 2020-01-22 |
| 1861022600 | Jeremiah Malecek | Physician Assistant | 3755 Bryant Ave N, Minneapolis, MN 55412-2156 | 2020-01-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55415 |
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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.