KENDALL DEE MOORE (NPI# 1467891028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467891028 |
| Entity Type | Individual |
| Full Name | KENDALL DEE MOORE |
| Credential | M.D. |
| Practice Address |
1600 Sw Archer Rd Gainesville FL 32610-3003 |
| Practice Telephone | 3522650111 |
| Mailing Telephone | 3522650111 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | TRN 19026 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021400900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700314929 | Kendall Maria Moore | Home Health Aide | 203 N St Sw Apt 322, Washington, DC 20024-3521 | 2017-06-01 |
| 1578045480 | Kendall S Moore | Social Worker | 3409 W Wendover Ave Ste I, Greensboro, NC 27407-1579 | 2018-09-06 |
| 1619459526 | Kendall Moore | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2018-09-06 |
| 1508253881 | Kendall Ivan Moore | Emergency Medicine | 111 E 210th St, Bronx, NY 10467-2401 | 2015-04-23 |
| Street Address |
1600 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475554 | Walter J Milton | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-05-24 |
| 1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
| 1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
| 1225638174 | Leigha Fridley | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-29 |
| 1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1053919985 | Amber Lynn Bart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1134726847 | Emily Elizabeth Farhat | Social Worker | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1922613231 | Trinh Nguyen | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-14 |
| 1053926501 | Annalise Deboef | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| 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 |
|---|---|---|---|---|
| 1558883306 | Rustlewood Emergency Physicians LLC | Emergency Medicine | 4388 Nv 53rd Street Avenue, Gainesville, FL 32653 | 2017-07-13 |
| 1285169367 | Ryan Michael Luevanos | Emergency Medicine | 1147 Nw 64th, Terrace, Gainesville, FL 32605 | 2017-04-26 |
| 1477088045 | Benjamin Huston Murphy | Emergency Medicine | 3558 Nw 97th Blvd Fl 32606, Gainesville, FL 32606-7323 | 2017-04-20 |
| 1104367549 | Justine Anne Falcone | Emergency Medicine | 2490 Sw 14th Dr, Apt 24, Gainesville, FL 32608-2064 | 2017-03-18 |
| 1487008454 | Brittany Charlotte Beel | Emergency Medicine | Dept of Emergency Medicine 1329 Sw 16th St, Room 5270, Gainesville, FL 32610-0001 | 2016-04-15 |
| 1861897480 | Emergency Physicians Medical Center, LLC | Emergency Medicine | 9181 Nw 39th Ave, Gainesville, FL 32606-7372 | 2014-10-24 |
| 1124432471 | Gainesville Medical Centers | Emergency Medicine | 805 Nw 13th St, Gainesville, FL 32601-2904 | 2014-06-15 |
| 1760894497 | Jordan Bell | Emergency Medicine | 3034 Sw 98th Way, Gainesville, FL 32608-8682 | 2014-05-29 |
| 1639517972 | Charles William Hwang Jr. | Emergency Medicine | 1329-sw 16 St, Gainesville, FL 32610-0186 | 2013-06-10 |
| 1689012932 | Pratik Shashikant Patel | Emergency Medicine | 1329 Sw 16th St Ste 1210, Box 100371, Gainesville, FL 32610-0186 | 2013-06-10 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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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.