CHARLES K MOORE (NPI# 1447227285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447227285 |
| Entity Type | Individual |
| Full Name | CHARLES K MOORE |
| Credential | FNP |
| Practice Address |
2828 1st Ave Suite 510 Huntington WV 25702-1236 |
| Mailing Address |
Po Box 4190 Barboursville WV 25504-4190 |
| Practice Telephone | 3043997533 |
| Practice Fax Number | 3043997507 |
| Mailing Telephone | 3043994405 |
| Mailing Fax Number | 3043992526 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4411P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
50644 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810004812 | 05 | |
| WV | RR MEDICARE | P00892178 | 01 |
| OH | 2654266 | 05 | |
| KY | 7100008460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841790995 | Charles Edward Moore II | Case Manager/Care Coordinator | 2024 Te Ata Drive, Ada, OK 74820 | 2018-02-15 |
| 1114336310 | Charles Moore | Dentist | 1710 Trolley Rd Ste B, Summerville, SC 29485-8281 | 2014-08-13 |
| 1467620799 | Charles Robert Moore | Anesthesiology | 6129 Cottage Dr, Haslett, MI 48840-8939 | 2008-02-20 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1346452620 | Charles Maurice Moore | Counselor | 1516 Kelly Ct, Conover, NC 28613-7801 | 2007-05-07 |
| 1649497561 | Charles E Moore | Specialist | 1210 Miccosukee Rd, Tallahassee, FL 32308-5076 | 2007-04-20 |
| 1215053426 | Charles Robert Moore | Ophthalmology | 926 N Wilcrest Dr, Houston, TX 77079-3504 | 2007-03-21 |
| 1629020011 | Charles Henry Moore | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-05-16 |
| 1629038609 | Charles Edward Moore Jr. | Family Medicine | 2407 Helton Dr Ste B, Florence, AL 35630-1067 | 2006-03-24 |
| 1902877012 | Charles S Moore | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-01-27 |
| Street Address |
2828 1ST AVE SUITE 510 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25702-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103488 | University Physicians & Surgeons, Inc. | Clinic/Center | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 | 2005-06-10 |
| 1699215038 | Laura Wiley | Counselor | 2828 1st Ave, Suite #203, Huntington, WV 25702-1236 | 2017-03-05 |
| 1649643982 | Justin Smith | Physician Assistant | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2015-11-09 |
| 1285005405 | Scott Orthopedic Center | Durable Medical Equipment & Medical Supplies | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2015-10-14 |
| 1467820449 | Scott Orthopedic Center | Registered Nurse | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2015-09-09 |
| 1417325333 | James Isaiah Manns | Specialist/Technologist | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2015-09-09 |
| 1457754483 | Aaron Goodrich | Specialist/Technologist | 2828 1st Ave, Huntington, WV 25702-1236 | 2014-10-05 |
| 1033519194 | Nicholas Dakota Dailey | Specialist/Technologist | 2828 1st Ave, Highlawn Medical Building Suite 400, Huntington, WV 25702-1236 | 2014-08-26 |
| 1912272683 | Justin Allen Eaches | Specialist/Technologist | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2012-03-14 |
| 1063701944 | Highlawn Preferred Pharmacy | Pharmacy | 2828 1st Ave, Suite 203, Huntington, WV 25702-1236 | 2011-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692306 | Jessica Nicole Hankins | Social Worker | 2769 Collins Avenue, Huntington, WV 25702 | 2020-05-29 |
| 1932750338 | Dasllastiene Cabell | Technician | 6188 Little 7 Mile Rd, Huntington, WV 25702 | 2019-09-26 |
| 1295386134 | Hope Vance | Technician | 2 Sam Collins Road, Huntington, WV 25702 | 2019-09-23 |
| 1649726373 | Erin Nicole Wingate | Emergency Medicine | 2828 1st Ave., Huntington, WV 25702 | 2016-09-01 |
| 1639545510 | Ready Set Relax LLC | Massage Therapist | 2411 3rd Avenue, Huntington, WV 25702 | 2015-08-14 |
| 1780709923 | M N Saleme Surgery Inc | Surgery | 2828 First Ave, Suite 205, Huntington, WV 25702 | 2007-03-20 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| 1578621678 | Andrea R Ferguson | Registered Nurse | 2860 3rd Ave Suite 10, Huntington, WV 25702 | 2006-12-04 |
| 1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
| 1790889905 | All Med LLC | Durable Medical Equipment & Medical Supplies | 410 Seventh Ave, Huntington, WV 25702 | 2006-09-08 |
| Find all providers in zip 25702 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143495 | Katherine Dowling | Nurse Practitioner | 1 Bouton Rd, Huntington, NY 11743-1003 | 2020-10-28 |
| 1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
| 1235747106 | Dathan Jobe | Nurse Practitioner | 2 Jacqueline Hts, Huntington, WV 25702-9764 | 2020-07-16 |
| 1427676923 | Taylor Regen Dean | Nurse Practitioner | 32 Brookstone Dr, Huntington, WV 25704-9563 | 2020-07-10 |
| 1689207516 | Sandra Walters | Nurse Practitioner | 1340 16th St, Huntington, WV 25701-3800 | 2020-02-19 |
| 1124678156 | Misty Rae Stauffer | Nurse Practitioner | 406 Viking Cove Rd, Huntington, TX 75949-3474 | 2019-09-11 |
| 1689223349 | Tashanna T Brown | Nurse Practitioner | 75 Prospect St Ste 204, Huntington, NY 11743-3320 | 2019-09-05 |
| 1194370676 | Chelse R Jobe | Nurse Practitioner | 2900 1st Ave Ste 10, Huntington, WV 25702-1241 | 2019-08-02 |
| 1609338284 | Anne M Weiser-maimone | Nurse Practitioner | 33 Knollwood Rd, Huntington, NY 11743-1527 | 2019-04-03 |
| 1396207262 | Vanessa Gervasi | Nurse Practitioner | 241 E Main St Ste 2c, Huntington, NY 11743-2917 | 2019-04-01 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25702 |
Please comment or provide details below to improve the information on CHARLES K 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.