DR. DAVID C MOORE (NPI# 1497198261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497198261 |
| Entity Type | Individual |
| Full Name | DR. DAVID C MOORE |
| Credential | M.D. |
| Practice Address |
4209 Gateway Blvd Newburgh IN 47630-8900 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8124269855 |
| Practice Fax Number | 8128584536 |
| Mailing Telephone | 8124269855 |
| Mailing Fax Number | 8128584536 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01080054A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 421 Chestnut St, Evansville, IN 477131227 | 8124126985 | 8128584536 |
| D-4311 Medical Ctr N, Vanderbilt University Medical Center, Nashville, TN 372322730 | 6153436642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975979 | David Brent Moore | Speech-Language Pathologist | 2201 W Iowa Ave Ste 5, Chickasha, OK 73018-2732 | 2019-04-25 |
| 1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
| 1609221209 | David Christopher Moore | Anesthesiology | 75 Francis St # Cw-l1, Boston, MA 02115-6110 | 2016-05-02 |
| 1114389780 | David Jan Moore | Emergency Medicine | 6015 Tyndall Ave, Bronx, NY 10471-1812 | 2016-03-23 |
| 1679915060 | David E Moore | Dentist | 11 N 11th Ave Ste 107, Yakima, WA 98902-3085 | 2013-07-25 |
| 1346503349 | David Moore | Family Medicine | 6282 Edgecreek Ln, Columbus, OH 43231-7645 | 2012-06-25 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1821357468 | David John Moore | Acupuncturist | 1210 Lehigh St, Boulder, CO 80305-6352 | 2012-05-15 |
| 1922306760 | David Jonathan Moore | Specialist/Technologist, Other | 674 Mesa Ct, Rifle, CO 81650-2529 | 2011-03-02 |
| 1497989933 | David B Moore | Registered Nurse | 4801 College Blvd., Leawood, KS 66211-1628 | 2009-05-13 |
| Street Address |
4209 GATEWAY BLVD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639168016 | Bill K Tolar | Specialist | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2005-10-18 |
| 1548875842 | Deaconess Hospital, Inc. | Psychologist | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2020-09-14 |
| 1013558980 | Deaconess Clinic Inc | Internal Medicine | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2019-10-02 |
| 1518518398 | Navpreet K Rawala | Nurse Practitioner | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2019-09-24 |
| 1164953394 | Brandi G Neely | Nurse Practitioner | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2017-03-21 |
| 1255714705 | Mallory A Williams Zorn | Pediatrics | 4209 Gateway Blvd, Newburgh, IN 47630 | 2015-07-01 |
| 1942606934 | Meghann Funk | Nurse Practitioner | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2014-11-18 |
| 1841607587 | Fuli Richie | Nurse Practitioner | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2014-07-15 |
| 1558776278 | Kusum M Pradhan | Pediatrics | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2014-06-23 |
| 1760718530 | Jane E Rauscher | Nurse Practitioner | 4209 Gateway Blvd, Newburgh, IN 47630 | 2009-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831218130 | Mid-hudson Urological Associates | Urology | 600 Stony Brook Court, Mid-hudson Urological Associates, Newburgh, NY 12550-6524 | 2007-03-28 |
| 1063706414 | Yu-kuan Lin | Urology | 600 Stony Brook Ct, Newburgh, NY 12550-6524 | 2011-06-02 |
| 1073715744 | Joseph Clair Klink | Urology | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2007-06-04 |
| 1154402139 | Charles Nathan Walker | Urology | 1200 Route 300, Newburgh, NY 12550-5003 | 2006-10-18 |
| 1598859217 | Jaspreet Singh | Urology | 600 Stony Brook Ct, Newburgh, NY 12550-6524 | 2006-10-03 |
| 1184717902 | Conrado N Tojino Jr. | Urology | 600 Stony Brook Ct, Newburgh, NY 12550-6524 | 2006-10-02 |
| 1770676595 | Paul A Pomerantz | Urology | 600 Stony Brook Ct, Newburgh, NY 12550-6524 | 2006-10-02 |
| 1598771529 | Gary Blaine Loden | Urology | 1200 Route 300, Newburgh, NY 12550-5003 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752799 | Mark Alexander Assmus | Urology | 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 | 2020-08-26 |
| 1124653803 | Catherine Baugher | Urology | 2525 W University Ave Ste 504, Muncie, IN 47303-3409 | 2020-03-03 |
| 1245881812 | Carol Jean Stephens | Urology | 1000 N 16th St Ste 210, New Castle, IN 47362-4319 | 2019-09-25 |
| 1376960302 | Mohammad Mahmoud | Urology | 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 | 2014-03-27 |
| 1114364064 | Alexander J Tatem | Urology | 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 | 2013-06-03 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1861744997 | Vincent Joseph Santare | Urology | 134 Carnoustie Ln, Schererville, IN 46375-2926 | 2012-10-13 |
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1154681369 | Joshua David Roth | Urology | 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 | 2012-05-22 |
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
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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.