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).
| 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 |
| 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 |
| 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 |
| Street Address |
1611 SOUTH GREEN ROAD SUITE 146 |
| City | SOUTH EUCLID |
| State | OH |
| Zip Code | 44121-4121 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 44121 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH EUCLID |
| Zip Code | 44121 |
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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.