DR. SUSAN J. MOORE (NPI# 1356361430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356361430 |
| Entity Type | Individual |
| Full Name | DR. SUSAN J. MOORE |
| Credential | M.D. |
| Practice Address |
112 Crofton Place Uva Lake Monticello Internal Medicine Palmyra VA 22963 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4345899030 |
| Practice Fax Number | 4345899040 |
| Mailing Telephone | 4342951000 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101041674 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005803543 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730526971 | Susan Josephine Moore | Developmental Therapist | 302 Glenwood Dr, 201, Bloomingdale, IL 60108-3318 | 2013-05-29 |
| 1134400864 | Susan John Moore | Nurse Practitioner | 3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo, IN 46902-3710 | 2011-09-08 |
| 1265735435 | Susan Annette Moore | Registered Nurse | 589 Oak Hill Branch Rd, South Webster, OH 45682-9094 | 2010-12-09 |
| 1881903896 | Susan Renee Moore | Specialist | 9030 Monticello Rd, Wesson, MS 39191-9027 | 2010-09-26 |
| 1699097964 | Susan A. Moore | Speech-Language Pathologist | 114 Langdell Road, Hyde Park, VT 05655 | 2010-02-26 |
| 1336470715 | Susan Marie Moore | Social Worker | 3298 Silver Ridge Ct, Hermitage, PA 16148-6082 | 2010-01-25 |
| 1659511350 | Susan P Moore | Physical Therapist | 4747 N Ocean Dr, Ste 261, Lauderdale By The Sea, FL 33308-2947 | 2009-02-20 |
| 1760683817 | Susan Sharon Moore | Dietitian, Registered | 1200 S Arlington Ridge Rd, # 610, Arlington, VA 22202-1952 | 2007-05-29 |
| 1336158450 | Susan M Moore | Nurse Practitioner | 111 N 175th St, Omaha, NE 68118-3579 | 2006-08-07 |
| 1063446169 | Susan Moons Moore | Psychologist | 7010 W Highway 71, Suite 340-143, Austin, TX 78735-8300 | 2006-07-11 |
| Street Address |
112 CROFTON PLACE UVA LAKE MONTICELLO INTERNAL MEDICINE |
| City | PALMYRA |
| State | VA |
| Zip Code | 22963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851809941 | Alexa Cservek | Psychologist | 9172 James Madison Hwy, Palmyra, VA 22963 | 2018-01-11 |
| 1457716672 | Caroline Bach | Physical Therapist | 109 Crofton Pl, Palmyra, VA 22963 | 2015-12-15 |
| 1699159251 | Lucy Little Hill | Community Health Worker | 3 Dew Court, Palmyra, VA 22963 | 2015-07-14 |
| 1720380306 | Sandra Mae Chirico | Occupational Therapist | 473 Jefferson Drive West, Palmyra, VA 22963 | 2010-12-02 |
| 1225263486 | Lucy Ricardo Larsen | Acupuncturist | 202 Turkeysag Trail, Palmyra, VA 22963 | 2009-05-18 |
| 1720132293 | James Colburn Steere | Dentist | 13653 James Madison Hwy, Palmyra, VA 22963 | 2007-01-22 |
| 1831106327 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 132 Main Street, County Office Building, Palmyra, VA 22963 | 2006-08-01 |
| 1366414385 | Phyllis Blattstain Montellese | Family Medicine | 2599 Central Plains Rd, Palmyra, VA 22963 | 2006-02-03 |
| 1538521646 | Ryan Mckinney | Physical Therapist | 77 Market St Ste B, Palmyra, VA 22963 | 2016-03-28 |
| 1962991018 | Catherine Pendleton Davis | Nurse Practitioner | 83 Jefferson Dr, Palmyra, VA 22963-2022 | 2018-05-04 |
| Find all providers in zip 22963 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942413109 | Laura C Howard | Internal Medicine | 33 Rebecca Dr, Palmyra, VA 22963-6242 | 2007-05-07 |
| 1265448310 | Randolph Marshall Baker | Internal Medicine | 33 Rebecca Dr, Palmyra, VA 22963-6242 | 2006-07-31 |
| 1952315012 | Erich K Batra | Internal Medicine | 941 Park Dr, Palmyra, PA 17078-3445 | 2006-07-27 |
| 1093758534 | Paige B Nolte | Internal Medicine | 33 Rebecca Dr, Palmyra, VA 22963-6242 | 2006-06-13 |
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| 1376155648 | Mosaic Md, Pllc | Internal Medicine | 22365 Broderick Dr Ste 330, Sterling, VA 20166-9361 | 2020-08-18 |
| 1164030458 | Premier Health Consultants of Northern Virginia Inc | Internal Medicine | 1860 Town Center Dr Ste 260, Reston, VA 20190-5899 | 2020-07-22 |
| 1679199194 | Abyssinia Medical Center | Internal Medicine | 8200 Greensboro Dr Ste 910, Mc Lean, VA 22102-4931 | 2020-06-20 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
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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.