DR. MARTHA LYNN MOORE (NPI# 1194871616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194871616 |
| Entity Type | Individual |
| Full Name | DR. MARTHA LYNN MOORE |
| Credential | M.D. |
| Practice Address |
6428 Beach Blvd Jacksonville FL 32216-2813 |
| Practice Telephone | 9047241717 |
| Practice Fax Number | 9047241719 |
| Mailing Telephone | 9047241717 |
| Mailing Fax Number | 9047241719 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME86740 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144739533 | Martha Michelle Moore | Registered Nurse | Piedmont Henry Hospital, 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 | 2017-09-28 |
| 1710131065 | Martha F Moore | Massage Therapist | 5201 Sw 31st Ave Apt 105, Fort Lauderdale, FL 33312-6922 | 2008-11-13 |
| 1497932404 | Martha Susan Moore | Registered Nurse | 314 E Owen K Garriott Rd, Enid, OK 73701 | 2008-01-22 |
| 1053418921 | Martha Jane Moore | Family Medicine | 232 Wood Street, Wrangell, AK 99929 | 2006-09-20 |
| 1134785074 | Martha Denise Moore | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2019-05-16 |
| 1336343144 | Martha Carole Moore | Psychologist | 49430 Road 426, Suite C, Oakhurst, CA 93644-8618 | 2007-06-14 |
| 1689703092 | Martha Moore | Counselor | 509 Biltmore Ave, Suite G276.10, Asheville, NC 28801-4601 | 2007-03-02 |
| 1336127513 | Martha Jeanne Moore | Family Medicine | 500 W Main St, Livingston, TN 38570-1718 | 2006-01-06 |
| 1225016678 | Martha W. Moore | Social Worker | 55 Lake Ave N, Department of Psychiatry, Worcester, MA 01655-0002 | 2006-01-05 |
| 1265426365 | Martha Kay Moore | Nurse Anesthetist, Certified Registered | 710 Center St, Columbus, GA 31901-1527 | 2005-09-02 |
| Street Address |
6428 BEACH BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386722 | Nancy Crain | Physician Assistant | 6428 Beach Blvd, Jacksonville, FL 32216-2813 | 2006-02-17 |
| 1407307929 | Lisa Stern | Nurse Practitioner | 6428 Beach Blvd, Jacksonville, FL 32216-2813 | 2016-10-19 |
| 1063793784 | Erin Ann Vaughan | Nurse Practitioner | 6428 Beach Blvd, Jacksonville, FL 32216-2813 | 2011-09-08 |
| 1912920372 | Florida Physicians & Research Assoc | Internal Medicine | 6428 Beach Blvd, Jacksonville, FL 32216 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| 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 |
|---|---|---|---|---|
| 1598182552 | Maedeh Ganji | Internal Medicine | 653 W 8th St # L-18, Jacksonville, FL 32209-6511 | 2014-03-27 |
| 1649696691 | Carolinaeast Physicians | Internal Medicine | 4725 Western Blvd, Jacksonville, NC 28546-6852 | 2014-03-14 |
| 1093151888 | Alejandro Pena Jr. | Internal Medicine | 14546 Old St Augustine Rd Suite 201, Jacksonville, FL 32258-2612 | 2013-05-20 |
| 1669696407 | Ruple Jayantilal Galani | Internal Medicine | 14546 Old Saint Augustine Rd Ste 103, Credentialing Department, Jacksonville, FL 32258-5469 | 2007-04-12 |
| 1154408656 | Heart Clinic of Jacksonville, LLC | Internal Medicine | 9551 Baymeadows Rd Ste 6, Jacksonville, FL 32256-7938 | 2006-11-01 |
| 1487757092 | Cardiovascular Associates of Jacksonville Pa | Internal Medicine | 3599 University Blvd South, Suite 913, Jacksonville, FL 32216-4269 | 2006-09-07 |
| 1316958838 | Valerie Mcnee | Internal Medicine | 1 Red Fox Ln, Jacksonville, AR 72076-2513 | 2006-08-10 |
| 1306895438 | Diagnostic Cardiology Pa | Internal Medicine | 6867 South Point Drive N, Suite 111, Jacksonville, FL 32216-8005 | 2006-05-08 |
| 1790743854 | Baptist Cardiology, Inc. | Internal Medicine | 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 | 2006-05-01 |
| 1386601896 | James C Campbell | Internal Medicine | 3225 University Blvd S Ste 104, Credentialing Department, Jacksonville, FL 32216-2757 | 2006-04-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on DR. MARTHA LYNN 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.