DR. BRIAN MOORE


Address: 1611 South Green Road, Suite 146, South Euclid, OH 44121-4121
Phone: 2163823806

DR. BRIAN MOORE (NPI# 1346402575) 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) 1346402575
Entity Type Individual
Full Name DR. BRIAN MOORE
Credential MD
Practice Address 1611 South Green Road
Suite 146
South Euclid
OH 44121-4121
Practice Telephone 2163823806
Practice Fax Number 2163826735
Mailing Telephone 2163823806
Mailing Fax Number 2163826735
Enumeration Date 2008-06-29
Last Update Date 2014-07-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 35124097 OH Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers BRIAN MOORE

NPI Name Taxonomy Address Enumeration
1477160810 Brian Chadwick Moore Technician 1227 Blue Slide Rd, Thompson Falls, MT 59873-9470 2020-09-29
1790102226 Brian Archie Moore Physical Therapist 4413 61st St, Lubbock, TX 79414-4520 2014-03-21
1225336316 Brian Thomas Moore Pharmacist 602 Bacons Bridge Rd, Summerville, SC 29485-4102 2011-03-14
1033236591 Brian Alan Moore Social Worker 1001 W 10th St # Bu1, Midtown Cmhc, Indianapolis, IN 46202-2859 2007-03-22
1952480063 Brian Joseph Moore Internal Medicine 1201 Mount Kemble Ave, Morristown, NJ 07960-6628 2006-11-02
1487743696 Brian Franklin Moore Prosthetist 172 Commercial Sq, Slidell, LA 70461-5418 2006-10-12
1144237108 Brian Moore Anesthesiology 8504 Osuna Rd Ne, Albuquerque, NM 87111-2148 2006-08-02
1013961804 Brian Lee Moore Nurse Anesthetist, Certified Registered 6615 Briarwood Cir, Wichita, KS 67212-2986 2006-05-19
1790749539 Brian Keith Moore Specialist/Technologist 4653 Clairton Blvd, Pittsburgh, PA 15236-2149 2006-04-17
1871554527 Brian Harold Moore Specialist 813 W 2nd St, Bloomington, IN 47403-2212 2006-03-31

Office Location

Street Address 1611 SOUTH GREEN ROAD
SUITE 146
City SOUTH EUCLID
State OH
Zip Code 44121-4121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215989447 University Suburban Health Center Clinic/Center 1611 South Green Road, Suite 016, South Euclid, OH 44121-4129 2006-05-16
1588746945 Michael Mcgraw Supler Physical Therapist 1611 South Green Road, Suite #036, South Euclid, OH 44121-4128 2006-10-19
1457447682 Todd William Locke Internal Medicine 1611 South Green Road, Suite 213, South Euclid, OH 44121 2006-10-05
1467555482 Michael M Supler & Associates Inc Occupational Therapist 1611 South Green Road, Suite #036, South Euclid, OH 44121-4128 2006-09-06
1437251790 Ellen Grebinger Wilson Occupational Therapist 1611 South Green Road, Suite #036, South Euclid, OH 44121-4128 2006-09-05
1972618379 Melissa Mcgraw Supler Physical Therapist 1611 South Green Road, Suite #036, South Euclid, OH 44121-4128 2006-08-19
1326153727 James Anthony Rosko Physical Therapist 1611 South Green Road, Suite #036, South Euclid, OH 44121-4128 2006-08-19
1023038742 Thomas A Stellato Surgery 1611 South Green Road, Suite 200, South Euclid, OH 44121 2006-07-19
1528010360 University Suburban Health Center Clinic/Center 1611 South Green Road, Suite 124, South Euclid, OH 44121-4129 2006-05-17
1255383097 University Suburban Health Center Clinical Medical Laboratory 1611 South Green Road, Suite 011, South Euclid, OH 44121-4129 2006-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396213443 Khrystyne Hill Home Health Aide 1396 Villa Dr, South Euclid, OH 44121 2018-11-07
1700369329 An Angels Touch Case Manager/Care Coordinator 4673 Liberty Road, South Euclid, OH 44121 2018-09-10
1336654169 Dawn Marniece Burns Counselor 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 2017-12-01
1154830610 Kamry Wilson Massage Therapist 1915 Temblethurst Rd, South Euclid, OH 44121 2017-09-27
1891210027 Tyrone Sykes Counselor 2940 Noble Rd, Cleveland Hts, OH 44121 2017-08-09
1083140412 Cortney Casey Licensed Practical Nurse 3430 Monticello Blvd, Cleveland Heights, OH 44121 2017-05-04
1821523374 Sharmila Noles Licensed Practical Nurse 818 South Green Rd, 5, South Euclid, OH 44121 2017-04-21
1679018725 Safe Haven Residential Services In Home Supportive Care 2515 Belvoir Rd, Cleveland, OH 44121 2016-12-28
1447702154 Jerry C Mallory Jr. Military Health Care Provider 4018 Bayard 44121, Apo, AA 44121 2016-10-28
1215388129 Rose-mary, The Johanna Grasselli Rehabilitation and Education Center Intermediate Care Facility, Mentally Retarded 4383 Ammon Road, South Euclid, OH 44121 2016-06-22
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295918597 Amy Hehr Kassouf Dermatology 1611 S Green Rd, Suite 146, South Euclid, OH 44121-4128 2007-12-10
1154487932 University Dermatologists Inc Dermatology 1611 S Green Rd, Suite 146, South Euclid, OH 44121-4128 2006-12-28
1659336279 Robert Bennett Eppes Dermatology 1611 S Green Rd, Suite 158, South Euclid, OH 44121-4128 2006-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023623808 Bria Deshea Barjuca Dermatology 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245-1788 2020-09-09
1184263675 Sunkiss Essentials LLC Dermatology 2926 State Rd Ste 369, Cuyahoga Falls, OH 44223-1244 2019-12-31
1770048894 Teresa O'connell Dermatology Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 2019-02-02
1144737560 Robert Brody Md Co Dermatology 3461 Warrensville Center Rd Ste 101, Shaker Heights, OH 44122-5227 2018-01-08
1366893752 Kirsten Dickinson Dermatology Cleveland Clinic 9500 Euclin Ave, Cleveland, OH 44195-1009 2016-06-27
1649629692 Megan Ashley Jones-sheets Dermatology 75 Metro Place North, Suite 195, Dublin, OH 43017 2016-06-10
1275982746 Samantha N Barry Dermatology 9403 Kenwood Rd Ste B100, Blue Ash, OH 45242-6858 2016-06-06
1720433592 Nitin Tiwari Dermatology 4439 State Route 159 Ste G50, Chillicothe, OH 45601-7202 2016-04-29
1487008751 Kiyanna Marie Williams Dermatology 2049 E 100th St A Building, Cleveland, OH 44195-1014 2016-04-22
1336502038 Jacqueline Graham Dermatology 566 White Pond Dr Ste E, Akron, OH 44320-1116 2016-03-30
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Competitor

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City SOUTH EUCLID
Zip Code 44121

Improve Information

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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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