MR. JOHN DAVID MOORE (NPI# 1396731774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396731774 |
| Entity Type | Individual |
| Full Name | MR. JOHN DAVID MOORE |
| Credential | M.D. |
| Practice Address |
851 East Fifth Street Suite 144 Washington MO 63090 |
| Practice Telephone | 6362398097 |
| Practice Fax Number | 6363907308 |
| Mailing Telephone | 6362398097 |
| Mailing Fax Number | 6363907308 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2014-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 110519 | MO | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
110519 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 204739510 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
| 1609218379 | John Easter Moore Jr. | Social Worker | 2032 Sheffield Rd, Oklahoma City, OK 73120-4926 | 2013-07-23 |
| 1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
| 1487915799 | John S Moore | Registered Nurse | 26300 Ford Rd # 160, Dearborn Heights, MI 48127-2854 | 2012-06-04 |
| 1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
| 1205130176 | John Robert Moore | Family Medicine | 9715 Hurlbut Rd, Remsen, NY 13438-4621 | 2011-01-06 |
| 1548462385 | John William Moore IIi | Internal Medicine | 2643 Patterson Rd Ste 605, Grand Junction, CO 81506-1937 | 2007-06-04 |
| 1962612317 | John D Moore | Hearing Instrument Specialist | 7050 W Palmetto Park Rd Ste 20, Boca Raton, FL 33433-3462 | 2007-05-23 |
| Street Address |
851 EAST FIFTH STREET SUITE 144 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841764495 | Pain Management Centers of America, Psc | Pain Medicine | 1717 S State Road 57 Ste F, Washington, IN 47501-4179 | 2019-01-16 |
| 1730702820 | Keystone Pain Consultants & Interventional Spine Specialists PC | Pain Medicine | 80 Landings Dr Ste 202, Washington, PA 15301-9408 | 2020-05-22 |
| 1043430309 | Ayasha Williams-sharron | Pain Medicine | 1160 Varnum St Ne, Depaul Bldg., Suite 212, Washington, DC 20017-2107 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896635 | Stl Surgical LLC | Pain Medicine | 12184 Natural Bridge Rd, Bridgeton, MO 63044-2017 | 2017-12-13 |
| 1861832503 | St Louis Neuropathy and Pain Relief Center LLC | Pain Medicine | 10777 Sunset Office Dr Ste 40, Saint Louis, MO 63127-1019 | 2013-06-26 |
| 1326311747 | Greater St. Louis Pain Management, Corp. | Pain Medicine | 11716 Studt Avenue, St. Louis, MO 63141-7018 | 2012-02-15 |
| 1174626840 | Phung T Dang | Pain Medicine | 12414 Stratford Ridge Ct, Saint Louis, MO 63141-6383 | 2006-09-07 |
| 1114034931 | Mahendra Gunapooti | Pain Medicine | 261 Dunn Rd, Florissant, MO 63031-7928 | 2006-08-25 |
| 1154376788 | Sam Martin | Pain Medicine | 2025 S Brentwood Blvd, Suite 200, Brentwood, MO 63144-1833 | 2006-05-23 |
| 1669422978 | The Brooks Clinic for Pain Management, Inc. | Pain Medicine | 1730 E Republic Rd, Suite Sa, Springfield, MO 65804-6549 | 2006-05-10 |
| 1578197927 | Surgery Cneters of Missouri | Pain Medicine | 8225 Clayton Rd, Clayton, MO 63117-1107 | 2020-02-25 |
| 1730710369 | Regen Ortho Spine & Pain LLC | Pain Medicine | 60 Business Park Dr Ste A, Troy, MO 63379-2828 | 2020-02-02 |
| 1508363946 | A & N Health Solutions LLC | Pain Medicine | 12607 Olive Blvd, Creve Coeur, MO 63141-6313 | 2018-04-11 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
Please comment or provide details below to improve the information on MR. JOHN DAVID MOORE.
| 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.