DR. COURTNEY MAGDALENE MOORE


Address: 22250 Providence Dr Ste 301, Southfield, MI 48075-6211
Phone: 2488493281

DR. COURTNEY MAGDALENE MOORE (NPI# 1154734812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154734812
Entity Type Individual
Full Name DR. COURTNEY MAGDALENE MOORE
Credential M.D.
Practice Address 22250 Providence Dr Ste 301
Southfield
MI 48075-6211
Practice Telephone 2488493281
Practice Fax Number 2488495449
Mailing Telephone 2488493281
Mailing Fax Number 2488495449
Enumeration Date 2014-06-10
Last Update Date 2018-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301105763 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
4201 Saint Antoine St, 2e, Detroit, MI 482012153 3137457999

Other Providers COURTNEY MOORE

NPI Name Taxonomy Address Enumeration
1952832677 Courtney Moore Behavior Technician 1675 Sw Marlow Ave Ste 204, Portland, OR 97225-5102 2017-03-23
1306290333 Courtney Michelle Moore Student in an Organized Health Care Education/Training Program 3852 W 370 Rd, Adair, OK 74330-2792 2016-04-15
1639543887 Courtney King Moore Counselor 650 Henderson Dr Ste 432, Cartersville, GA 30120-3760 2015-11-25
1093068306 Courtney Rose Moore Behavioral Analyst 14131 Midway Rd Ste 800, Addison, TX 75001-3627 2012-10-24
1538499157 Courtney Keese Moore Acupuncturist 605 Chenery Street, Suite C, San Francisco, CA 94131-2956 2010-01-04
1316194053 Courtney Savannah Moore Counselor 45 Olguin Rd, Jarales, NM 87023-9703 2008-08-25
1205030004 Courtney Claude Moore Pharmacist 1864 Union St, Clearwater, FL 33763-2246 2007-06-14
1962548925 Courtney Joseph Moore Physical Therapist 2251 Country Club Lane, Selma, CA 93662 2007-01-29
1043810922 Courtney Moore Pharmacist 262 Cordele Rd, Albany, GA 31705-2407 2020-10-29
1689274169 Courtney L Moore Behavior Technician 1800 Nw 169th Pl Ste B100, Beaverton, OR 97006-7362 2020-10-26

Office Location

Street Address 22250 PROVIDENCE DR STE 301
City SOUTHFIELD
State MI
Zip Code 48075-6211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164047932 Ammar Wadi Alkhafaji Internal Medicine 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 2020-06-08
1437774213 Patrick Michael Lazarczyk Internal Medicine 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 2020-06-08
1518511179 Andrew Bacha Student in an Organized Health Care Education/Training Program 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 2019-07-31
1669024915 Jacob Alex Student in an Organized Health Care Education/Training Program 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 2019-07-16
1699330829 Ahmad Rachid Student in an Organized Health Care Education/Training Program 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 2019-05-02
1982269254 Neam Alazawi Student in an Organized Health Care Education/Training Program 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 2019-05-02
1437612579 Salam Brikho Student in an Organized Health Care Education/Training Program 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 2019-04-06
1689129702 Jeremy Reid Heffernan Internal Medicine 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 2016-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
Find all providers in zip 48075

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053910687 Berry Johnson Health Pllc Internal Medicine 30123 Rock Creek Dr, Southfield, MI 48076-5358 2020-10-24
1063036960 Hawra Kamal Internal Medicine Academic Internal Medicine 22250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 2020-06-05
1578187175 Brittni Mcclellan Internal Medicine 16001 W 9 Mile Rd # Rs, Southfield, MI 48075-4818 2020-05-31
1841811882 Humza Medical Md PC Internal Medicine 27207 Lahser Suite 200b, Southfield, MI 48034-8407 2020-04-30
1487168001 Us Knee Center Pllc Internal Medicine 24901 Northwestern Hwy Ste 113, Southfield, MI 48075-2200 2017-11-17
1427576636 Comfort Care Center Corp Internal Medicine 15565 Northland Dr E Ste 204, Southfield, MI 48075 2017-09-07
1609391382 Excellence Home Physicians Internal Medicine 16910 W 10 Mile Rd Ste 105, Southfield, MI 48075-2900 2017-08-03
1598112567 Ark Multispecialty Physicians Pllc Internal Medicine 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 2016-05-19
1659756005 Haseeb Aslam Internal Medicine 16001 West Nile Mile Road Fisher Center, 401, Southfield, MI 48075 2015-07-28
1548643562 Erin Goldman Internal Medicine 16001 W Nine Mile Road, Providence Hospital Medical Ctr. Grad Med Education, Southfield, MI 48075 2015-07-08
Find all providers in SOUTHFIELD

Competitor

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City SOUTHFIELD
Zip Code 48075

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Dataset Information

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.

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