CECILIA G MOORE (NPI# 1518064609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518064609 |
| Entity Type | Individual |
| Full Name | CECILIA G MOORE |
| Credential | DPM |
| Practice Address |
1245 Main St Ste A Chatham MA 02633-1889 |
| Practice Telephone | 5089458720 |
| Practice Fax Number | 5089458724 |
| Mailing Telephone | 5089458720 |
| Mailing Fax Number | 5089458724 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2197 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | UNITED HEALTH CARE | 201301115 | 01 |
| MA | AETNA | 7648677 | 01 |
| MA | TUFTS HEALTH PLAN | 419034 | 01 |
| MA | HARVARD PILGRIM HEALTH | AA19095 | 01 |
| MA | BLUE SHEILD OF MA | Y71110 | 01 |
| MA | BMC | 000000033550 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528263514 | Cecilia Ann Moore | Dietitian, Registered | 3601 4th St, Stop 9903, Lubbock, TX 79430-9903 | 2007-06-19 |
| 1144240227 | Cecilia Pickett Moore | Nurse Practitioner | 274 Big A Rd, Toccoa, GA 30577-6002 | 2006-07-20 |
| Street Address |
1245 MAIN ST STE A |
| City | CHATHAM |
| State | MA |
| Zip Code | 02633-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053780619 | Jessica Lynn D Acosta | Social Worker | 2 Lobster Ln., Apt C, Chatham, MA 02633 | 2015-09-24 |
| 1982873444 | Roxanne Cumming | Internal Medicine | 214a S Orleans Rd, Chatham, MA 02633 | 2008-02-28 |
| 1851436562 | Susan Frances Thibadeau | Psychologist | 100 Sea View Street, The May Center, Chatham, MA 02633 | 2007-02-20 |
| 1245373620 | Garland S Alcock | Psychiatry & Neurology | 17a The Marketplace, Chatham, MA 02633 | 2007-02-15 |
| 1275640724 | Robert Thomas Montbach | Dentist | 720 Main Street, Chatham, MA 02633 | 2006-08-23 |
| 1922335868 | Kristin Whitfield | Acupuncturist | 46 Crowell Road, Chatham, MA 02633 | 2009-11-13 |
| 1225138621 | Mitchell S. Tishler | Chiropractor | 60 Munson Meeting Way, Chatham, MA 02633 | 2006-09-25 |
| 1841324720 | David Renke | Physician Assistant | 57 Diane Dr, Chatham, MA 02633-1007 | 2007-03-15 |
| 1891030821 | Mariela Emma Horsfall | Counselor | 91 Chatham Crest Dr, Chatham, MA 02633-1054 | 2012-12-03 |
| 1558445452 | Andrew A Mcclennen | Chiropractor | 46 Crowell Road, Chatham, MA 02633-1184 | 2006-10-25 |
| Find all providers in zip 02633 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096261 | East Point Foot & Ankle PC | Podiatrist | 250 N Main St Ste 102, E Longmeadow, MA 01028-1834 | 2020-03-03 |
| 1144705443 | Bay State Foot & Ankle Specialists, LLC | Podiatrist | 380 Lowell St Ste 102, Wakefield, MA 01880-1984 | 2018-10-02 |
| 1396230298 | Samuel Caine | Podiatrist | 732 Harrison Ave Fl 5, Boston, MA 02118-2309 | 2018-06-25 |
| 1467982413 | Navicular LLC | Podiatrist | 140 Park St Ste 1, Attleboro, MA 02703-8048 | 2017-06-13 |
| 1669904140 | Zachary Sax | Podiatrist | 264 Beacon St Fl 2, Boston, MA 02116-1236 | 2017-04-03 |
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1487107769 | Chih Kang David Liou | Podiatrist | 10 Beacon St, Somerville, MA 02143-4311 | 2016-08-03 |
| 1477905446 | Erik Henriksen | Podiatrist | 116 Court St Ste 3, Plymouth, MA 02360-8710 | 2016-07-01 |
| 1922459973 | Kelly Noonan | Podiatrist | 451 Andover St Ste 209, North Andover, MA 01845 | 2016-06-30 |
| 1831503549 | Julie Riley | Podiatrist | 409 Pond St Ste 3, Braintree, MA 02184-6853 | 2014-06-20 |
| 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.