DR. MARK TYLER MOORE (NPI# 1487002689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487002689 |
| Entity Type | Individual |
| Full Name | DR. MARK TYLER MOORE |
| Credential | AUD |
| Practice Address |
700 Lawrence Expy Santa Clara CA 95051-5173 |
| Practice Telephone | 4233603883 |
| Mailing Telephone | 4233603883 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2018-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 3334 | CA | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 9806481-4101 | UT | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031019 | Mark Daniel Moore | Psychologist | 100 Miner St, Crescent City, IL 60928-8092 | 2017-08-30 |
| 1114462017 | Mark Christopher Moore | Anesthesiologist Assistant | 8000 E Maplewood Ave Bldg 5, Ste. 200, Greenwood Village, CO 80111-4766 | 2016-12-30 |
| 1699981183 | Mark Wayne Moore | Dentist | 2301 12th St, Meridian, MS 39301-3934 | 2007-05-14 |
| 1588747588 | Mark W Moore | Physical Therapist | 6036 N 19th Ave Ste 303, Phoenix, AZ 85015 | 2006-10-23 |
| 1346338530 | Mark Douglas Moore | Optometrist | 2020 N Tyler Rd Ste 124, Wichita, KS 67212-4916 | 2006-10-11 |
| 1730289935 | Mark Edward Moore | Optometrist | 3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 | 2006-09-25 |
| 1043328800 | Mark D Moore | Optometrist | 504 Peterson Ave S, Douglas, GA 31533-5254 | 2006-08-29 |
| 1104934462 | Mark Stephen Moore | Dentist | 5501 Matlock Rd, Arlington, TX 76018-1534 | 2006-08-28 |
| 1225022833 | Mark Phillip Moore | Dentist | 2048 Windward Ln, Gainesville, GA 30501-7418 | 2005-09-09 |
| 1710527130 | Mark Moore | Community Health Worker | 1114 Lane 12, Lovell, WY 82431-9555 | 2020-01-14 |
| Street Address |
700 LAWRENCE EXPY |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95051-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617664 | William P Mccullough Jr. | Radiology | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2005-08-30 |
| 1760004675 | Teresa P Nguyen | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-05-13 |
| 1033748694 | Michaela Isabelle Soriano | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-06 |
| 1366079782 | Marissa Lovio | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-03-25 |
| 1306473186 | Kristie Angeli Agbuya Leyson | Nurse Practitioner | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-03-24 |
| 1528695418 | Amy Whei Penn | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-03-23 |
| 1932736766 | Varsha Salunkhe | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-03-23 |
| 1033745906 | Christina Lin | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-03-22 |
| 1114557956 | Stacy Hull | Clinical Nurse Specialist | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-01-21 |
| 1275163222 | Joel Moreno | Dietitian, Registered | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773690 | Christian Hamm | Pharmacist | Kaiser Permanente Medical Center Santa Clara, Dept 362 (inpatient Pharmacy), 710 Lawrence Expressway, Santa Clara, CA 95051 | 2019-04-10 |
| 1053879692 | Jiaqi Weng | Acupuncturist | 2062 Walsh Ave Suite B2, San Clare, CA 95051 | 2019-03-02 |
| 1699293209 | Leslie Avalos | Massage Therapist | 3530 Lochnivar Ave, Santa Clara, CA 95051 | 2017-09-04 |
| 1831552843 | Miral Neel Patel | Physical Therapist | 2737 Walsh Avenue, Alliance Occupational Medicine, Santa Clara, CA 95051 | 2016-03-29 |
| 1861831117 | Alison Wong | Emergency Medicine | 700 Lawrence Expy Dept 100, Santa Clara, CA 95051 | 2013-06-20 |
| 1073889291 | Brittany Lee Bianchi | Speech-Language Pathologist | 3775 Flora Vista Ave, Apt. 501, Santa Clara, CA 95051 | 2012-04-02 |
| 1124390067 | Karo Isajan | Chiropractor | 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 | 2012-02-08 |
| 1598054991 | David Phillip Guo | Urology | 710 Lawrence Expy Dept 448, Santa Clara, CA 95051 | 2011-04-06 |
| 1043528573 | Jennifer Hui Young | Chiropractor | 2342 Walsh Ave, Santa Clara, CA 95051 | 2010-09-17 |
| 1386961217 | Assefa Gebremichael | Pharmacist | 1000 Kiely Blvd, #91, Santa Clara, CA 95051 | 2010-05-03 |
| Find all providers in zip 95051 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508248493 | Jon Michael Fraser | Audiologist | 710 Lawrence Expy # 296, Santa Clara, CA 95051-5173 | 2015-06-26 |
| 1306906094 | Sally Eileen Musko | Audiologist | 2894 Homestead Rd, Santa Clara, CA 95051-5224 | 2006-12-11 |
| 1275604795 | Rebecca L.. Meredith | Audiologist | 710 Lawrence Expy Ste 296, Santa Clara, CA 95051-5173 | 2006-11-13 |
| 1568070100 | Brenna Andrews | Audiologist | 2894 Homestead Rd, Santa Clara, CA 95051-5224 | 2020-07-20 |
| 1245874080 | Erin Duncan | Audiologist | 2894 Homestead Rd, Santa Clara, CA 95051-5224 | 2019-11-05 |
| 1194242057 | Stefanie Allan | Audiologist | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2017-08-23 |
| 1801311477 | Allison Evans | Audiologist | 2894 Homestead Rd, Santa Clara, CA 95051-5224 | 2017-08-04 |
| 1952662678 | Jillian Leigh Spaulding | Audiologist | 710 Lawrence Expy, 296, Santa Clara, CA 95051-5173 | 2012-05-30 |
| 1740569334 | Heather Lynn Burr | Audiologist | 710 Lawrence Expy, Department 296, Santa Clara, CA 95051-5173 | 2011-08-12 |
| 1033443940 | Christina Marie Kerwin | Audiologist | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2009-09-24 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95051 |
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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.