DAVID JAN MOORE (NPI# 1114389780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114389780 |
| Entity Type | Individual |
| Full Name | DAVID JAN MOORE |
| Credential | M.D. |
| Practice Address |
6015 Tyndall Ave Bronx NY 10471-1812 |
| Mailing Address |
241 North Rd Poughkeepsie NY 12601-1154 |
| Practice Telephone | 7187643556 |
| Mailing Telephone | 8454318220 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 297052 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975979 | David Brent Moore | Speech-Language Pathologist | 2201 W Iowa Ave Ste 5, Chickasha, OK 73018-2732 | 2019-04-25 |
| 1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
| 1609221209 | David Christopher Moore | Anesthesiology | 75 Francis St # Cw-l1, Boston, MA 02115-6110 | 2016-05-02 |
| 1679915060 | David E Moore | Dentist | 11 N 11th Ave Ste 107, Yakima, WA 98902-3085 | 2013-07-25 |
| 1346503349 | David Moore | Family Medicine | 6282 Edgecreek Ln, Columbus, OH 43231-7645 | 2012-06-25 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1821357468 | David John Moore | Acupuncturist | 1210 Lehigh St, Boulder, CO 80305-6352 | 2012-05-15 |
| 1922306760 | David Jonathan Moore | Specialist/Technologist, Other | 674 Mesa Ct, Rifle, CO 81650-2529 | 2011-03-02 |
| 1497989933 | David B Moore | Registered Nurse | 4801 College Blvd., Leawood, KS 66211-1628 | 2009-05-13 |
| 1659511194 | David Andrew Moore | Psychologist | 313 S 12th St Apt 4, Philadelphia, PA 19107-5935 | 2009-02-24 |
| Street Address |
6015 TYNDALL AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10471-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1124579529 | Joselyne Bararwandika | Registered Nurse | 385 W 263rd St, Bronx, NY 10471 | 2016-10-20 |
| 1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
| 1720443047 | The Hebrew Home for The Aged At Riverdale | Clinic/Center | 5901 Palisade Avenue, Riverdale, NY 10471 | 2015-12-31 |
| 1073989570 | Laura Maria Luciano | Social Worker | 5676 Riverdale Ave Suite 202, Riverdale Mental Health Association, Bronx, NY 10471 | 2015-08-19 |
| 1043607419 | Bianca Rodriguez | Social Worker | 6211 Broadway, 5h, Bronx, NY 10471 | 2015-04-23 |
| 1427445204 | Paul M Hertz Dmd LLC | Dentist | 6011 Riverdale Avenue, Riverdale, NY 10471 | 2015-04-20 |
| 1891186045 | Maria Caceres | Radiologic Technologist | 216 Foster Pl, Bronx, NY 10471 | 2015-02-10 |
| 1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
| 1699101824 | Jaeyong Choi | Registered Nurse | 600 West 246th St., Apt 205, Bronx, NY 10471 | 2013-09-19 |
| Find all providers in zip 10471 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679927701 | Darnell Cain | Emergency Medicine | 3411 Wayne Ave Fl 6, Bronx, NY 10467-2552 | 2016-04-14 |
| 1295117950 | Neil Flannery Haidorfer | Emergency Medicine | 3450 Wayne Ave Apt 9c, Bronx, NY 10467-2511 | 2015-06-18 |
| 1619310125 | Adelle Sharon Iusim | Emergency Medicine | 1400 Pelham Pkwy S Bldg 6, Bronx, NY 10461 | 2013-04-15 |
| 1174882757 | Mary Agnes Newell | Emergency Medicine | 183rd St. and Third Ave., St. Barnabas Hospital Emergency Department, Bronx, NY 10457 | 2012-05-16 |
| 1407120645 | Andrew Roy Williams | Emergency Medicine | 1400 Pelham Pkwy South. Building 6 Suite 1b25, Jacobi Medical Center Emergency Dept., Bronx, NY 10461-1138 | 2012-03-06 |
| 1336427517 | Jeremy Moriarty | Emergency Medicine | 600 E 233rd St Dept of Emergency Medicine, Bronx, NY 10466-2604 | 2011-07-22 |
| 1154618353 | Jordana Kritzer | Emergency Medicine | 600 E 233rd St Fl 2, Bronx, NY 10466-2604 | 2011-07-07 |
| 1013211168 | Jason Peter Boulware | Emergency Medicine | 2353 Hughes Ave, Apt 1a, Bronx, NY 10458-8267 | 2011-01-04 |
| 1568774313 | Carol Gleeson | Emergency Medicine | 4238 Vireo Ave, Bronx, NY 10470-2412 | 2010-07-09 |
| 1518284157 | Edward Djan-kwansa | Emergency Medicine | 2228 Boller Ave, 2nd Floor, Bronx, NY 10475-5502 | 2010-04-21 |
| Find all providers in BRONX | ||||
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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.