DEREK MOORE


Address: 902 Gallia St, Portsmouth, OH 45662-4139
Phone: 7405292125

DEREK MOORE (NPI# 1174135552) 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) 1174135552
Entity Type Individual
Full Name DEREK MOORE
Practice Address 902 Gallia St
Portsmouth
OH 45662-4139
Mailing Address 3012 Glenmore Ave Ste 14
Cincinnati
OH 45238-2258
Practice Telephone 7405292125
Enumeration Date 2020-08-18
Last Update Date 2020-08-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers DEREK MOORE

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
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
1033405220 Derek Cecil Moore Emergency Medicine 29000 Center Ridge Rd, Suite 150, Westlake, OH 44145-5293 2011-06-26

Office Location

Street Address 902 GALLIA ST
City PORTSMOUTH
State OH
Zip Code 45662-4139

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356642409 Gidget Renee Odle Licensed Practical Nurse 902 Gallia St, Portsmouth, OH 45662-4139 2010-11-05
1528667987 Brandi Hunt Case Manager/Care Coordinator 902 Gallia St, Portsmouth, OH 45662-4139 2020-10-18
1710586177 Randi Carver Case Manager/Care Coordinator 902 Gallia St, Portsmouth, OH 45662-4139 2020-10-18
1508489147 Lance Blaine Sydnor Case Manager/Care Coordinator 902 Gallia St, Portsmouth, OH 45662-4139 2020-05-18
1639709652 Mackenzie Coakley Case Manager/Care Coordinator 902 Gallia St, Portsmouth, OH 45662-4139 2020-01-17
1659913390 Lorilee Stephenson Case Manager/Care Coordinator 902 Gallia St, Portsmouth, OH 45662-4139 2019-10-15
1700447265 Samantha Nicole Foster Case Manager/Care Coordinator 902 Gallia St, Portsmouth, OH 45662-4139 2019-06-25
1790345197 Brittney Sue Miller Case Manager/Care Coordinator 902 Gallia St, Portsmouth, OH 45662-4139 2019-06-18
1184182842 Marisue Hobbs Case Manager/Care Coordinator 902 Gallia St, Portsmouth, OH 45662-4139 2019-03-12
1124592043 Pam Hensley Case Manager/Care Coordinator 902 Gallia St, Portsmouth, OH 45662-4139 2019-01-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528613346 Stacia N Boyer Nurse Practitioner 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 2019-08-08
1487210167 Rose Speier Registered Nurse 920 Gallia Street, Portsmouth, OH 45662 2019-05-17
1083123491 Megan Rhea Case Manager/Care Coordinator 901 Wahington St, Portsmouth, OH 45662 2017-09-28
1376061903 Alanna Lee Reisinger Physical Therapist 522 Glenwood Ave., New Boston, OH 45662 2017-09-04
1871010967 Nicole Lynne Johnson Counselor 800 Gallia Street Suite 600, Portsmouth, OH 45662 2017-08-29
1629595822 William Zachary Nance Counselor 800 Gallia Street, Suite 600, Portsmouth, OH 45662 2017-08-28
1962929703 Melissa Rodbell Speech-Language Pathologist 514 Union St., Portsmouth, OH 45662 2017-08-23
1346604626 Todd Davis Counselor 2954 Walnut St., Portsmouth, OH 45662 2016-04-12
1083078406 Gordon Sanders Counselor 2954 Walnut Street, Portsmouth, OH 45662 2016-04-12
1033573910 Michael L Purdy Nurse Practitioner 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 2016-04-07
Find all providers in zip 45662

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639776974 Ayana Capri Esau Case Manager/Care Coordinator 414 Taft Dr, Portsmouth, VA 23701-4160 2020-10-08
1831716471 Stephanie Seevers Case Manager/Care Coordinator 1018 21st St Apt C, Portsmouth, OH 45662-2859 2020-06-30
1841837200 Grant Underwood Case Manager/Care Coordinator 1025 20th St, Portsmouth, OH 45662-2801 2019-12-04
1043857402 Rebecca Childers Case Manager/Care Coordinator 1793 Jackson St, Portsmouth, OH 45662-4477 2019-12-04
1417594870 Monique Y Harmon Case Manager/Care Coordinator 3207 Old Post Rd, Portsmouth, OH 45662-2426 2019-12-04
1265998397 Alex Jarome Harris Case Manager/Care Coordinator 205 South Preston St, Portsmouth, OH 45662-4566 2019-02-13
1083123491 Megan Rhea Case Manager/Care Coordinator 901 Wahington St, Portsmouth, OH 45662 2017-09-28
1598287823 Kim Machon Williams Case Manager/Care Coordinator 2011 Queen St Ste N-210, Portsmouth, VA 23704-3027 2017-07-07
1275665093 Wendy Segit Case Manager/Care Coordinator 114 5 Sagamore Ave, Portsmouth, NH 03801-5585 2007-03-09
1194871020 Franziska Maria Bennett Case Manager/Care Coordinator 15 Edendale Rd, Portsmouth, OH 45662 2007-01-25
Find all providers in PORTSMOUTH

Competitor

Search similar providers

City PORTSMOUTH
Zip Code 45662

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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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