MRS. LAURA ANN MOORE (NPI# 1467466268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467466268 |
| Entity Type | Individual |
| Full Name | MRS. LAURA ANN MOORE |
| Credential | RPA-C |
| Practice Address |
3669 Countryside Ln Marion NY 14505-9781 |
| Practice Telephone | 3159267733 |
| Practice Fax Number | 3159260731 |
| Mailing Telephone | 3159267733 |
| Mailing Fax Number | 3159260731 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 003362 1 | NY | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003362 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01293301 | 05 | |
| NY | PREFERRED CARE | PA0030 | 01 |
| NY | BLUE CHOICE | P019003362 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538621065 | Laura Moore | Psychologist | 24402 W Lockport St Ste 223, Plainfield, IL 60544-4267 | 2019-04-03 |
| 1992265565 | Laura Barlow Moore | Student in an Organized Health Care Education/Training Program | 430 Allister Dr Unit 206, Raleigh, NC 27609-7279 | 2019-03-20 |
| 1881131225 | Laura Moore | Massage Therapist | 445a S Blackstock Rd, Spartanburg, SC 29301-3646 | 2017-01-24 |
| 1255875738 | Laura O Moore | Registered Nurse | 440 Thomas Rd, Dallas, GA 30132-7703 | 2016-12-19 |
| 1760837199 | Laura Moore | Physical Therapy Assistant | 75 E 400 N, Rupert, ID 83350-9571 | 2016-05-04 |
| 1538588181 | Laura Pippitt Moore | Anesthesiology | 1800 Camden Rd Ste 107-259, Charlotte, NC 28203 | 2014-04-10 |
| 1528405537 | Laura Kathan Moore | Counselor | 11925 Fairlie Pl, Raleigh, NC 27613-7842 | 2013-05-30 |
| 1467899443 | Laura Moore | Pharmacist | 665 S Mount Juliet Rd, Mount Juliet, TN 37122-6483 | 2013-05-30 |
| 1588943831 | Laura Ann Moore | Counselor | 103 Banyan Rd, Starkville, MS 39759-4327 | 2011-08-04 |
| 1679714380 | Laura Josie Moore | Counselor | 313 W Liberty St Ste 222, Lancaster, PA 17603-2766 | 2009-03-11 |
| Street Address |
3669 COUNTRYSIDE LN |
| City | MARION |
| State | NY |
| Zip Code | 14505-9781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184640138 | David Thomas Hannan | Family Medicine | 3669 Countryside Ln, Marion, NY 14505-9781 | 2006-07-14 |
| 1497133342 | Theresa Martin | Family Medicine | 3669 Countryside Ln, Marion, NY 14505 | 2015-05-12 |
| 1760802706 | Arcadia Family Practice | Nurse Practitioner | 3669 Countryside Ln, Marion, NY 14505-9781 | 2014-04-17 |
| 1972923902 | Eliza Weis | Nurse Practitioner | 3669 Countryside Ln, Marion, NY 14505-9781 | 2014-04-17 |
| 1639490550 | Lucas A.g. Keith | Internal Medicine | 3669 Countryside Ln, Marion, NY 14505 | 2010-06-15 |
| 1255491387 | Arcadia Family Practice, P.C. | Family Medicine | 3669 Countryside Ln, Marion, NY 14505-9781 | 2006-12-11 |
| 1710086442 | Melissa Pullin I | Nurse Practitioner | 3669 Countryside Ln, Marion, NY 14505-9781 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1205382926 | Laurie M Savory | Registered Nurse | 4599 Witherden Rd, Marion, NY 14505 | 2016-09-01 |
| 1801267455 | Jaime Campbell | Speech-Language Pathologist | 4610 Smith Rd, Marion, NY 14505 | 2015-10-08 |
| 1477820876 | Trena Fisher | Registered Nurse | 4034 Warner Road, Marion, NY 14505 | 2011-11-30 |
| 1437147717 | Marion Pharmacy, Inc. | Pharmacy | 3803 South Main St., Marion, NY 14505 | 2005-10-11 |
| 1497033658 | David Farley Scoville | Veterinarian | 4073 Warner Road, Marion, NY 14505 | 2011-07-21 |
| 1467577627 | Paul Edward Johnson | Pharmacist | 3803 South Main St, Marion, NY 14505-0047 | 2007-03-20 |
| 1073060877 | Kristin Renee Forte | Dental Hygienist | 4545 Williamson Rd, Marion, NY 14505-9302 | 2016-09-08 |
| 1083855365 | Michael Alan Pealo | Licensed Practical Nurse | 4519 Williamson Rd, Marion, NY 14505-9302 | 2009-03-16 |
| 1639440043 | Catherine Colunio | Licensed Practical Nurse | 4573 Daniel Dr, Marion, NY 14505-9303 | 2012-01-17 |
| Find all providers in zip 14505 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704585 | Keith Charles Damico | Physician Assistant | 5235 Nc 226 S, Marion, NC 28752-8733 | 2006-11-08 |
| 1578178679 | Amelia Kate Stigall | Physician Assistant | 1301 E Deyoung St, Marion, IL 62959-3846 | 2020-09-15 |
| 1689223208 | Emily Jane Bodfish | Physician Assistant | 1204 N Main St, Marion, VA 24354-4312 | 2019-09-06 |
| 1306343512 | Cody Jordan Harris | Physician Assistant | 970 S Prospect St, Marion, OH 43302-6225 | 2018-04-12 |
| 1174989800 | Andrew Michael Bandsuh | Physician Assistant | 1000 Mckinley Park Dr, Marion, OH 43302-6399 | 2016-01-11 |
| 1295108363 | Julia Petraitis | Physician Assistant | 1728 Marion Waldo Rd, Marion, OH 43302-7457 | 2015-11-11 |
| 1396146460 | Cameron M Ratcliff | Physician Assistant | 1616 N Main St, Ste 100a, Marion, VA 24354-4473 | 2014-09-09 |
| 1447593694 | Harry William Howe | Physician Assistant | 1583 N Main St, Marion, VA 24354-4317 | 2013-04-05 |
| 1295088748 | Zed Alex Mansfield | Physician Assistant | 2293 Sugar Hill Rd Ste D, Marion, NC 28752-7787 | 2012-10-22 |
| 1003079328 | Karen Pauley | Physician Assistant | 402 S State St, Marion, OH 43302-5000 | 2008-07-07 |
| Find all providers in MARION | ||||
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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.