DR. JUSTIN MURRAY MOORE (NPI# 1346602406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346602406 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN MURRAY MOORE |
| Credential | M.D., PHD |
| Practice Address |
110 Francis St Lowry Building, Suite 3b Boston MA 02215 |
| Mailing Address |
101 S. Huntington Avenue Apt #1605 Boston MA 02130 |
| Practice Telephone | 6176327246 |
| Practice Fax Number | 6176320949 |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 273410 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Francis St, Lowry Building, Suite 3b, Boston, MA 022155501 | 6176327246 | 6176320949 |
| 725 Albany Street, Shapiro 7, Suite C, Boston, MA 02118 | 6176388992 | 6176388979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323946 | Justin Derrick Moore | Obstetrics & Gynecology | 9500 Euclid Ave # 44195, Cleveland, OH 44195-2648 | 2016-05-05 |
| 1346620119 | Justin R Moore | Counselor | 10 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-5312 | 2015-06-05 |
| 1619171568 | Justin J Moore | Counselor | Hu Box # 12262, Searcy, AR 72149-0001 | 2007-06-13 |
| 1619185006 | Justin Donald Moore | Physical Therapist | 4819 1st St S, Arlington, VA 22204-1315 | 2007-05-18 |
| 1366444267 | Justin L Moore | Specialist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2005-08-11 |
| 1831743699 | Justin Moore | Physical Therapy Assistant | 3470 Landers Rd, North Little Rock, AR 72117 | 2019-07-30 |
| 1346704970 | Justin Moore | Community Health Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2019-01-28 |
| 1699279117 | Justin Earl Moore | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-03-20 |
| 1437689122 | Justin Moore | Marriage & Family Therapist | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2017-06-14 |
| 1487005393 | Justin Anthony Moore | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-06-22 |
| Street Address |
110 FRANCIS ST LOWRY BUILDING, SUITE 3B |
| City | BOSTON |
| State | MA |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601373 | Richard Ian Whyte | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 110 Francis St, Ste 9f, Boston, MA 02215-5501 | 2005-06-30 |
| 1811515430 | Josephine Christer Mattsson | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2020-07-09 |
| 1659908010 | Kimberley Noij | Student in an Organized Health Care Education/Training Program | 110 Francis St, Boston, MA 02215-5501 | 2020-03-25 |
| 1619454733 | Kirstyn James | Internal Medicine | 110 Francis St, Boston, MA 02215-5501 | 2018-07-21 |
| 1609366814 | Maureen Doherty | Social Worker | 110 Francis St, Boston, MA 02215-5501 | 2018-05-14 |
| 1114433323 | Thao L Costanza | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2017-12-26 |
| 1427560184 | Alison Corbin | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2017-11-02 |
| 1124557368 | Melanie Catherine Rotty | Registered Nurse | 110 Francis St, Boston, MA 02215-5501 | 2017-06-10 |
| 1104379015 | Tiffany Berman | Audiologist | 110 Francis St, Boston, MA 02215-5501 | 2016-07-27 |
| 1467905406 | Abdulrahman Alturki | Student in an Organized Health Care Education/Training Program | 110 Francis St, Suite 3b, Boston, MA 02215-5501 | 2016-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1376021279 | Felix Nwajei | Neurological Surgery | 725 Albany St # 7c, Boston, MA 02118-2526 | 2018-08-02 |
| 1740627579 | Christian Strong | Neurological Surgery | 75 Francis St # Ab-136, Boston, MA 02115-6110 | 2013-06-03 |
| 1518251834 | Zachary Luke Tataryn | Neurological Surgery | 197 Beacon St, Apartment 3r, Boston, MA 02116-1461 | 2011-06-03 |
| 1598932154 | Yi Lu | Neurological Surgery | 75 Francis St, Ca455, Department of Neurosurgery, Brigham & Women's Hospital, Boston, MA 02115-6110 | 2008-05-13 |
| 1770775256 | Ron I Riesenburger | Neurological Surgery | 800 Washington Street Box 178, Tufts Medical Center, Boston, MA 02111 | 2007-08-17 |
| 1033234562 | Justin M Brown | Neurological Surgery | 55 Fruit St # 745, Boston, MA 02114-2621 | 2007-03-21 |
| 1154498152 | Raymond Kevin Ryan | Neurological Surgery | 1 Adirondack Pl, Boston, MA 02124-5603 | 2006-11-29 |
| 1083626907 | Ann-christine Duhaime | Neurological Surgery | 55 Fruit St # 331, Boston, MA 02114-2621 | 2006-08-12 |
| 1972525541 | Ajith J Thomas | Neurological Surgery | 110 Francis Street, Suite 3b, Boston, MA 02215 | 2006-07-24 |
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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.