DEREK W MOORE (NPI# 1134387293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134387293 |
| Entity Type | Individual |
| Full Name | DEREK W MOORE |
| Credential | MD |
| Practice Address |
2324 Bath St Santa Barbara CA 93105-4330 |
| Practice Telephone | 8056827801 |
| Practice Fax Number | 8056875342 |
| Mailing Telephone | 8056827801 |
| Mailing Fax Number | 8056875342 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 238120 | MA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A87788 | CA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
238120 | MA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
237490 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2164035 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462833 | Derek Moore | In Home Supportive Care | 15024 Mormon St, Bennington, NE 68007-1246 | 2020-06-20 |
| 1568829299 | Derek Moore | Chiropractor | 401 W Atlantic Ave Unit 14, Delray Beach, FL 33444 | 2016-01-26 |
| 1285067728 | Derek Moore | Dentist | 1916 25th St, Sacramento, CA 95816-7214 | 2013-08-20 |
| 1376697391 | Derek Moore | Surgery | 4220 Harding Pike Ste 401, Nashville, TN 37205-2005 | 2007-01-23 |
| 1952476772 | Derek Riddick Moore | Chiropractor | 8996 Seminole Blvd, Seminole, FL 33772-3850 | 2006-11-21 |
| 1427062165 | Derek Dykes Moore | Social Worker | 22 Mcgrath Hwy, Somerville, MA 02143-4508 | 2006-07-28 |
| 1174135552 | Derek Moore | Case Manager/Care Coordinator | 902 Gallia St, Portsmouth, OH 45662-4139 | 2020-08-18 |
| 1659931046 | Derek Moore | Family Medicine | 10 Shurs Ln Ste 301, Philadelphia, PA 19127-2123 | 2019-06-18 |
| 1851876031 | Derek Raymond Moore | Counselor | 8020 W 87th St, Hickory Hills, IL 60457-1189 | 2018-10-03 |
| 1528306511 | Derek Thomas Moore | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Msb 4.331, Houston, TX 77030-1501 | 2013-01-25 |
| Street Address |
2324 BATH ST |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043270598 | Eric Shepherd | Orthopaedic Surgery | 2324 Bath St, Santa Barbara, CA 93105-4330 | 2006-03-27 |
| 1437791084 | Megan Ellena Carter | Physical Therapist | 2324 Bath St, Santa Barbara, CA 93105-4330 | 2019-10-15 |
| 1992226005 | Scott Carter Stonefelt | Physical Therapist | 2324 Bath St, Muller & Weber, Santa Barbara, CA 93105-9310 | 2017-06-28 |
| 1831549534 | Asa Rosenfield | Physical Therapist | 2324 Bath St, Muller & Weber, Santa Barbara, CA 93105-4330 | 2016-06-14 |
| 1649672320 | Annick Lamb | Physical Therapist | 2324 Bath St, Santa Barbara, CA 93105-4330 | 2014-09-24 |
| 1881096055 | Muller & Weber Physical Therapy | Clinic/Center | 2324 Bath St, Santa Barbara, CA 93105-4330 | 2014-09-19 |
| 1972927317 | Daniel Piligian | Physician Assistant | 2324 Bath St, Upstairs, Santa Barbara, CA 93105-4330 | 2014-02-05 |
| 1538581095 | Nicholas Maly | Physical Therapist | 2324 Bath St, Santa Barbara, CA 93105-4330 | 2014-01-16 |
| 1831475508 | Santa Barbara Orthopedic Associates, Inc | Non-Pharmacy Dispensing Site | 2324 Bath St, Santa Barbara, CA 93105-4330 | 2011-10-26 |
| 1366720724 | Rosalie Yeager | Physical Therapist | 2324 Bath St, Santa Barbara, CA 93105-4330 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
| 1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
| 1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
| 1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
| 1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922110329 | Stuart R Hutchinson | Orthopaedic Surgery | 511 Bath St, Santa Barbara, CA 93101 | 2006-08-31 |
| 1700802105 | Richard Daly Kahmann | Orthopaedic Surgery | 2324 Bath St, Santa Barbara, CA 93105-4330 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| Find all providers with the same taxonomy | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
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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.