DR. JAMES ROBERT MOORE (NPI# 1275624561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275624561 |
| Entity Type | Individual |
| Full Name | DR. JAMES ROBERT MOORE |
| Credential | M.D. |
| Practice Address |
2545 Chicago Ave #512 Minneapolis MN 55404-4522 |
| Practice Telephone | 6128136475 |
| Mailing Telephone | 6128136475 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
23272 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 056300500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835521 | James Leroy Moore | Emergency Medicine | 5010 Wood Shire Dr, Columbia, MO 65202-6654 | 2019-05-06 |
| 1518428499 | James Lawrence Moore Jr. | Nurse Practitioner | 1428 Sunflower Field Pl, Matthews, NC 28104-7623 | 2019-03-25 |
| 1013468503 | James Greg Moore | Physical Therapy Assistant | 3599 Chinaberry Ln, Sarasota, FL 34235-6640 | 2016-10-19 |
| 1952781924 | James Durning Moore Jr. | Dentist | 330 Billingsley Rd Ste 208, Charlotte, NC 28211-5020 | 2015-06-04 |
| 1093115594 | James Moore | Specialist/Technologist | 129 Cannon Trail Rd, Lexington, SC 29073-7976 | 2014-09-03 |
| 1033543061 | James Patrick Moore | Behavioral Analyst | 8670 Sw 212th St Apt 205, Cutler Bay, FL 33189-3353 | 2013-08-27 |
| 1528303880 | James Michael Moore | Acupuncturist | 63316 Us Highway 93, Ronan, MT 59864-2739 | 2012-11-27 |
| 1639453426 | James Edward Moore IIi | Specialist/Technologist | 4812 Overcrest Dr, Nashville, TN 37211-4709 | 2011-09-28 |
| 1073818837 | James Blaine Moore | Chiropractor | 372 Laduemont Dr, Saint Louis, MO 63141-8056 | 2011-01-25 |
| 1639304041 | James P Moore | Internal Medicine | 4500 Lower River Rd, Lewiston, NY 14092-1057 | 2009-05-29 |
| Street Address |
2545 CHICAGO AVE #512 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992772040 | Angelique Marie Reitmeier | Student in an Organized Health Care Education/Training Program | 2545 Chicago Ave, Minneapolis, MN 55404-4522 | 2006-03-07 |
| 1609319649 | Michal Sarah Rischall | Psychologist | 2545 Chicago Ave, Suite 217, Minneapolis, MN 55404-4522 | 2016-11-22 |
| 1225412406 | Ryan Dale Symanietz | Physician Assistant | 2545 Chicago Ave, Suite 601, Minneapolis, MN 55404-4522 | 2015-07-16 |
| 1720410293 | Dirck Anthony Rilla | Perfusionist | 2545 Chicago Ave, Suite 417, Minneapolis, MN 55404-4522 | 2013-08-06 |
| 1205180254 | Minnesota Cancer Specialists LLC | Specialist | 2545 Chicago Ave, Suite 500, Minneapolis, MN 55404-4522 | 2012-10-30 |
| 1386919835 | Allina Health System | Clinic/Center | 2545 Chicago Ave, Ste 200, Minneapolis, MN 55404-4522 | 2012-03-16 |
| 1154658276 | Frank G Lushine Md Pa | Specialist | 2545 Chicago Ave, Suite 510, Minneapolis, MN 55404-4522 | 2009-11-10 |
| 1003058355 | Jessica M Gutierrez | Surgery | 2545 Chicago Ave, Suite 601, Minneapolis, MN 55404-4522 | 2009-04-01 |
| 1790924405 | Rachel Pokos | Pharmacist | 2545 Chicago Ave, Minneapolis, MN 55404-4522 | 2009-02-19 |
| 1154560860 | Nicole Christian | Pharmacist | 2545 Chicago Ave, Suite 120, Minneapolis, MN 55404-4522 | 2009-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285682971 | Andrew John Barnes | Pediatrics | 702 19th Ave S, Minneapolis, MN 55454-1205 | 2006-05-04 |
| 1730166711 | Katherine Elizabeth Murray | Pediatrics | 200 Oak Street Se, Mcnamara Alumni Center Suite 160, Minneapolis, MN 55455 | 2005-12-29 |
| 1427478734 | Mollika Sajady | Pediatrics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2014-04-25 |
| 1962416313 | Laurel M Wills | Pediatrics | 701 Park Ave, G7, Minneapolis, MN 55415-1623 | 2006-07-28 |
| 1598779423 | Rachel W Trockman | Pediatrics | 701 Park Ave, G7, Minneapolis, MN 55415-1623 | 2006-07-28 |
| 1376517060 | Timothy P Culbert | Pediatrics | 2525 Chicago Ave S, Childrens Specialty Clinic Integrative Medicine Mpls, Minneapolis, MN 55404 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922521566 | Anna Hansmann | Pediatrics | 300 Coon Rapids Blvd Nw Ste 200, Coon Rapids, MN 55433-5645 | 2017-07-25 |
| 1649563750 | Kristen Marie Aggerbeck Kessler | Pediatrics | 2345 Ariel St N, Maplewood, MN 55109-2248 | 2011-05-23 |
| 1033138615 | Alva W Atkinson | Pediatrics | 124 Elton Hills Ln Nw, Rochester, MN 55901-3567 | 2006-07-18 |
| 1659341758 | Richard D Olsen | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-23 |
| 1689654816 | William J Barbaresi | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-23 |
| 1023094539 | Flora Robinson Howie | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-16 |
| 1215912530 | Jennifer L Lessin | Pediatrics | 8455 Flying Cloud Dr, Ste 205, Eden Prairie, MN 55344-3974 | 2005-12-09 |
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.