DR. GLENNDALE MOORE (NPI# 1164485033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164485033 |
Entity Type | Individual |
Full Name | DR. GLENNDALE MOORE |
Credential | M.D. |
Practice Address |
2949 New Bern Ave Suite 112-a Raleigh NC 27610-1248 |
Mailing Address |
Po Box 28510 Raleigh NC 27611-8510 |
Practice Telephone | 9192313614 |
Practice Fax Number | 9192129029 |
Mailing Telephone | 9192313614 |
Mailing Fax Number | 9192129029 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
24609 | NC | Allopathic & Osteopathic Physicians |
Street Address |
2949 NEW BERN AVE SUITE 112-A |
City | RALEIGH |
State | NC |
Zip Code | 27610-1248 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093375354 | True Horizons Inc | Counselor | 2949 New Bern Ave, Raleigh, NC 27610-1248 | 2019-06-19 |
1083095483 | Health First Community | Voluntary or Charitable | 2949 New Bern Ave, Ste 112, Raleigh, NC 27610-1248 | 2015-06-11 |
1528314754 | Champion Healthcare Services | Clinical Medical Laboratory | 2949 New Bern Ave, Ste. 108, Raleigh, NC 27610-1248 | 2012-07-25 |
1629341607 | 1st Opportunity Behavioral Health | Counselor | 2949 New Bern Ave, Suite 110-b, Raleigh, NC 27610-1248 | 2012-02-21 |
1548530751 | Solution Focused Services, LLC | Counselor | 2949 New Bern Ave, Suite 110-b, Raleigh, NC 27610-1248 | 2012-01-04 |
1265717326 | Alice Valencia Nunn | Counselor | 2949 New Bern Ave, Suite110-b, Raleigh, NC 27610-1248 | 2011-10-19 |
1578899175 | One Village One World Enhanced Services, LLC | Community/Behavioral Health | 2949 New Bern Ave, Suite 110, Raleigh, NC 27610-1248 | 2009-11-02 |
1316113962 | Dr. Betty K. Sutton | Clinic/Center | 2949 New Bern Ave, Suite 109a, Raleigh, NC 27610-1248 | 2008-05-05 |
1851576789 | Ladonna M Clark | Counselor | 2949 New Bern Ave, Suite 109, Raleigh, NC 27610-1248 | 2008-01-09 |
1639371925 | Carl Kent Speller Sr. | Counselor | 2949 New Bern Ave, Suite 107a, Raleigh, NC 27610-1248 | 2007-05-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
Find all providers in zip 27610 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841713187 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 | 2017-07-19 |
1407919285 | Angelo Milazzo | Internal Medicine | 3713 Benson Dr Ste 202, Raleigh, NC 27609-7372 | 2006-12-19 |
1639253529 | James Wilson Peterson | Internal Medicine | 3320 Wake Forest Rd., Suite 200, Raleigh, NC 27609 | 2006-10-25 |
1821010067 | Walter Tan | Internal Medicine | 3000 New Bern Ave Ste 1100, Wpp - Structural Heart, Raleigh, NC 27610-1231 | 2006-07-24 |
1881680098 | Joseph Anthony Guzzo | Internal Medicine | 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 | 2005-09-22 |
1972508661 | George Rayburn Cheely | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-17 |
1245235506 | Sagir Ahmed | Internal Medicine | 3811 Ed Dr, Suite 130, Raleigh, NC 27612-2392 | 2005-06-14 |
1104480532 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
1720643174 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
1154713550 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-02-23 |
Find all providers in RALEIGH |
Please comment or provide details below to improve the information on DR. GLENNDALE MOORE.
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.