KENNETH EDWARD MOORE (NPI# 1326096470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326096470 |
| Entity Type | Individual |
| Full Name | KENNETH EDWARD MOORE |
| Credential | M.D. |
| Practice Address |
Mcguire Vamc 1201 Broad Rock Rd Richmond VA 23249 |
| Mailing Address |
10064 Beechwood Dr Mechanicsville VA 23116-2730 |
| Practice Telephone | 8046755027 |
| Mailing Telephone | 8047307898 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
0101045616 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134490766 | Kenneth Moore | Skilled Nursing Facility | 751 Orange Ave, Saint Cloud, FL 34769-3063 | 2012-01-12 |
| 1376722348 | Kenneth Jerald Moore | Social Worker | 6906 S Utica Pl, Tulsa, OK 74136-5158 | 2007-10-26 |
| 1891899258 | Kenneth Lawrence Moore | Psychiatry & Neurology | 12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904 | 2006-09-07 |
| 1669409967 | Kenneth Earl Moore | Specialist/Technologist | 901 Lincoln Rd, Idabel, OK 74745-7802 | 2006-06-26 |
| 1013995323 | Kenneth Levi Moore IIi | Nurse Practitioner | 5981 Far Hills Ave, Dayton, OH 45429-2211 | 2006-01-06 |
| 1245889021 | Kenneth Moore | Dentist | 611 S George Nigh Expy, Mcalester, OK 74501-7277 | 2019-09-05 |
| 1144796103 | Kenneth Moore | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-10-17 |
| 1568963627 | Kenneth Sheppard Moore | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2018-02-23 |
| 1710358445 | Kenneth Steven Moore | Psychologist | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2015-10-07 |
| 1013304054 | Kenneth Adam Moore | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Suite 1031, Memphis, TN 38103-3403 | 2015-04-16 |
| Street Address |
MCGUIRE VAMC 1201 BROAD ROCK RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962638676 | Lavinia V Cohen-hopkins | Social Worker | Mcguire Vamc, 1201 Broad Rock Road, Richmond, VA 23249-0001 | 2009-06-09 |
| 1679735120 | Meagan E. Cogbill | Psychiatry & Neurology | Mcguire Vamc, 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2008-06-26 |
| 1205844818 | Violet R Gonzalez | Dietitian, Registered | Mcguire Vamc, 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2006-08-03 |
| 1316963010 | Angela Gentili | Internal Medicine | Mcguire Vamc, 1201 Braod Rock Blvd (181), Richmond, VA 23249-0001 | 2006-07-14 |
| 1679520688 | Neil Pendril Lewis | Internal Medicine | Mcguire Vamc, 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010407 | Chris Dinh Nguyen | Internal Medicine | 1201 Broad Rock Blvd Richmond, Richmond, VA 23249 | 2015-04-14 |
| 1982049425 | Amy Nicole Whiffin | Emergency Medicine | 1201 Broad Rock Blvd. Emergency Department, Richmond, VA 23249 | 2013-05-09 |
| 1770786311 | Katherine Martin | Dentist | Mcguire Vamc Dental Service 1201 Broad Rock Blvd, Richmond, VA 23249 | 2007-06-11 |
| 1407922214 | Thomas Fagan | Pharmacist | 1201 Broadwalk Blvd, Richmond, VA 23249 | 2006-11-27 |
| 1922197474 | Rufus Anthony Harris | Social Worker | 1201 Broadrock Boulevard, Room 1e 114, Richmond, VA 23249 | 2006-10-12 |
| 1497848386 | Patricia S Kelly | Religious Nonmedical Nursing Personnel | 1201 Brock Roack Blvd., Richmond, VA 23249 | 2006-10-02 |
| 1073619938 | Deborah Walck Haynes | Physician Assistant | Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151), Richmond, AL 23249 | 2006-09-16 |
| 1932204682 | James Kenneth Schmitt | Internal Medicine | 1201 Broadrock Rd, Richmond, VA 23249 | 2006-09-14 |
| 1679675045 | Ida Foster | Family Medicine | 1801 Broad Rock Boulevard, Richmond, VA 23249 | 2006-09-05 |
| 1871607176 | James Luther Tatum | Nuclear Medicine | 1201 Broadrock Road, Richmond, VA 23249 | 2006-08-17 |
| Find all providers in zip 23249 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275928426 | Elisabeth Katherine Acker | Physical Medicine & Rehabilitation | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2015-04-04 |
| 1295942332 | Deborah Caruso | Physical Medicine & Rehabilitation | 1201 Broad Rock Blvd, Spinal Cord Injury, Richmond, VA 23249-0001 | 2007-05-17 |
| 1346355054 | Lance L. Goetz | Physical Medicine & Rehabilitation | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2006-08-20 |
| 1770517807 | Mcv Associated Physicians | Physical Medicine & Rehabilitation | 1250 E Marshall Street, Mcv Hospitals Vcu Medical Center, Richmond, VA 23298-0510 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417165143 | Steven Deschner | Physical Medicine & Rehabilitation | 7489 Right Flank Rd, Suite 300, Mechanicsville, VA 23116-3845 | 2007-05-18 |
| 1386662203 | Prabhakaran K Nambiar | Physical Medicine & Rehabilitation | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2006-07-18 |
| 1518921238 | Kenneth William Waller | Physical Medicine & Rehabilitation | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2006-04-12 |
| 1932161171 | Anthony Vincent Cassini | Physical Medicine & Rehabilitation | 100 Emancipation Dr, 590-128, Hampton, VA 23667-0001 | 2006-04-04 |
| 1154382547 | Laurie Lindblom | Physical Medicine & Rehabilitation | 100 Emancipation Dr, 128, Hampton, VA 23667-0001 | 2006-03-28 |
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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.