JOHANNA CATHERINE MOORE (NPI# 1366619108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366619108 |
| Entity Type | Individual |
| Full Name | JOHANNA CATHERINE MOORE |
| Credential | M.D. |
| Practice Address |
701 Park Ave South Hennepin County Medical Center Revenue Management Minneapolis MN 55415 |
| Practice Telephone | 6128733044 |
| Practice Fax Number | 6126308242 |
| Mailing Telephone | 6128733044 |
| Mailing Fax Number | 6126308242 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 52841 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1366619108 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902282809 | Johanna Moore | Nurse Practitioner | 4110 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-7835 | 2015-08-03 |
| 1851427595 | Johanna Baran Moore | Pathology | 3701 S Higuera St, San Luis Obispo, CA 93401-7462 | 2007-02-26 |
| 1730153438 | Johanna L Moore | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 | 2006-02-17 |
| Street Address |
701 PARK AVE SOUTH HENNEPIN COUNTY MEDICAL CENTER REVENUE MANAGEMENT |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770759797 | Stephen Jared Dunlop | Emergency Medicine | 701 Park Ave South, Hennepin County Medical Center, Revenue Management, Minneapolis, MN 55415 | 2008-04-30 |
| 1104446772 | Nolan Shen | Student in an Organized Health Care Education/Training Program | 701 Park Ave South, Minneapolis, MN 55415-1623 | 2020-04-23 |
| 1851910707 | Elizabeth Mary Wendt | Student in an Organized Health Care Education/Training Program | 701 Park Ave South, Minneapolis, MN 55415-1829 | 2020-04-10 |
| 1104455468 | Megan Nichole Conlon | Student in an Organized Health Care Education/Training Program | 701 Park Ave South, Medicine - Hennepin County Medical Center, Minneapolis, MN 55415-1829 | 2020-04-07 |
| 1104454685 | Amelia Schuster Krug | Student in an Organized Health Care Education/Training Program | 701 Park Ave South, Hennepin County Medical Center - Emim Dept., Minneapolis, MN 55415-1829 | 2020-03-30 |
| 1740818418 | Peter Dock | Student in an Organized Health Care Education/Training Program | 701 Park Ave South, Minneapolis, MN 55415-1829 | 2020-03-30 |
| 1346878097 | Gregory Paul Thompson | Student in an Organized Health Care Education/Training Program | 701 Park Ave South, Hennepin County Medical Center, Minneapolis, MN 55415-1829 | 2020-03-30 |
| 1932736295 | Rachel Williams Beck Salz | Student in an Organized Health Care Education/Training Program | 701 Park Ave South, Medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 | 2020-03-26 |
| 1497382675 | Mohamed A Artan | Student in an Organized Health Care Education/Training Program | 701 Park Ave South, Medicine, Minneapolis, MN 55415-1829 | 2020-03-26 |
| 1801450226 | Kevin Glen Buda | Student in an Organized Health Care Education/Training Program | 701 Park Ave South, Hennepin County Medical Center, Minneapolis, MN 55415-1829 | 2019-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
| 1598326951 | Monazza Iqbal Chaudhry | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 | 2019-06-26 |
| 1760947196 | Brandon Haas | Pharmacist | 701 Park Ave Rll, Minneapolis, MN 55415 | 2019-02-11 |
| 1710474192 | Andrea Kramer | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-20 |
| 1750888640 | Alexandra Rose Coward | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-09 |
| 1194235861 | Gretchen Jane Vanderlinden-wang | Social Worker | Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 | 2017-10-06 |
| 1720501117 | Dominique Lacha Jones | Advanced Practice Midwife | 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 | 2017-07-18 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1215469689 | Michael Reitz | Student in an Organized Health Care Education/Training Program | 701 Park Avenue, B5.118, Minneapolis, MN 55415 | 2017-04-03 |
| Find all providers in zip 55415 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568991883 | Renzhong Ran | Emergency Medicine | 800 E. 28th Street Mr#11112, Minneapolis, MN 55407 | 2017-06-09 |
| 1053843581 | Joshua Anthony Bailey | Emergency Medicine | 800 E 28th St # 1112, Minneapolis, MN 55407-3723 | 2017-04-03 |
| 1083076681 | Kendra Elm | Emergency Medicine | 800 E 28th St # Mr 11122, Minneapolis, MN 55407-3799 | 2016-03-23 |
| 1275946311 | Christopher Roy Peterson | Emergency Medicine | 800 East 28th Street Mr 11112, Abbott Northwestern Hospital, Minneapolis, MN 55407 | 2014-06-06 |
| 1144633629 | Nicholas John Philpot | Emergency Medicine | 800 E 28th St # 11112, Minneapolis, MN 55407-3723 | 2014-06-03 |
| 1508178609 | Samreen Vora | Emergency Medicine | 2525 Chicago Ave # 91040460, Minneapolis, MN 55404-4518 | 2010-07-06 |
| 1932439718 | David Scott Goldsteen | Emergency Medicine | 4885 E Lake Harriet Pkwy, Minneapolis, MN 55419-5222 | 2009-12-30 |
| 1043447790 | Travis D Olives | Emergency Medicine | 701 Park Ave South - Medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 | 2009-06-19 |
| 1770759797 | Stephen Jared Dunlop | Emergency Medicine | 701 Park Ave South, Hennepin County Medical Center, Revenue Management, Minneapolis, MN 55415 | 2008-04-30 |
| 1659564011 | Sara Emily Friedman | Emergency Medicine | 800 E 28th St # Mr 11112, Minneapolis, MN 55407-3723 | 2007-08-20 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55415 |
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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.