MR. SAM EUGENE MOORE JR. (NPI# 1306477518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306477518 |
| Entity Type | Individual |
| Full Name | MR. SAM EUGENE MOORE JR. |
| Credential | AMBULETTE |
| Practice Address |
33 Du Bois Ave Poughkeepsie NY 12601-2140 |
| Practice Telephone | 8454644162 |
| Mailing Telephone | 8454644162 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | 5363887522 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801364310 | Sam L. Moore IIi | Case Manager/Care Coordinator | 114 Ineichen St Ste A, Rayville, LA 71269-3223 | 2018-11-02 |
| 1750773107 | Sam Moore | Pharmacist | 297 Terrell Ln, Barbourville, KY 40906-7862 | 2015-02-23 |
| 1972516797 | Sam Moore | Family Medicine | 1701 W. Curtis, Champaign, IL 61822-9678 | 2006-08-14 |
| Street Address |
33 DU BOIS AVE |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483138 | William Howard Horton II | Driver | 14 Woodrow Rd, Batavia, NY 14020-1202 | 2020-10-08 |
| 1881204642 | Peter Odion | Driver | 313 Utica Ave, Brooklyn, NY 11213-4998 | 2020-08-06 |
| 1407479363 | Ahmed A Mohammed | Driver | 724 23rd St # 2, Watervliet, NY 12189-2036 | 2020-05-26 |
| 1184250912 | Kaseem S Moore | Driver | 25 Pond Hill Ln, Walden, NY 12586-2264 | 2020-03-12 |
| 1710511233 | Bipil Tummala | Driver | 509 N Washington St Ste 1, Rome, NY 13440-4279 | 2020-02-24 |
| 1932733581 | Griffiths Dodzi Kpogli | Driver | 112 Tudor Pl Apt 4d, Bronx, NY 10452-8566 | 2020-02-22 |
| 1942830864 | Anthony Fulmore | Driver | 36 Hart St, Brooklyn, NY 11206-6402 | 2020-01-20 |
| 1659901890 | Blake Loren Kowalski | Driver | 284 Hidden Valley Rd, Rochester, NY 14624-2356 | 2020-01-15 |
| 1285272567 | Steven Marino Ramos | Driver | 713a Southern Blvd # 3, Bronx, NY 10455-2105 | 2019-12-17 |
| 1073151833 | Sebastian Williams | Driver | 11547 Sutphin Blvd, Jamaica, NY 11434-1020 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.