DR. ANNA ELIZABETH MOORE (NPI# 1518595701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518595701 |
| Entity Type | Individual |
| Full Name | DR. ANNA ELIZABETH MOORE |
| Credential | MD |
| Practice Address |
Five Rivers Family Health Center 2261 Philadelphia Dr. Suite 301 Dayton OH 45406 |
| Mailing Address |
Wsu Family Medicine Residency 2261 Philadelphia Dr. Suite 300 Dayton OH 45406 |
| Practice Telephone | 9377344141 |
| Mailing Telephone | 9377344141 |
| Mailing Fax Number | 9372777249 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 57.249165 | OH | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE OF OHIO TRAINING CERTIFICATE | 57.249165 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789904 | Anna Moore | Home Health | 769 Burton Ln, Southaven, MS 38671-6977 | 2020-04-25 |
| 1003974874 | Anna Means Moore | Physical Therapist | 2950 Fairfield Ave, Shreveport, LA 71104-1906 | 2006-12-05 |
| 1124065818 | Anna B Moore | Psychologist | 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 | 2006-06-01 |
| 1700416393 | Anna Madeline Moore | Behavior Technician | 17861 Von Karman Ave, Irvine, CA 92614-6213 | 2020-01-22 |
| 1649814252 | Anna Moore | Social Worker | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2019-11-06 |
| 1598309478 | Anna Moore | Behavior Technician | 13553 Atlantic Blvd, Jacksonville, FL 32225-4225 | 2019-11-04 |
| 1316400815 | Anna Moore | Physical Therapist | 3000 Guernsey St, Bellaire, OH 43906-1540 | 2019-04-11 |
| 1144780495 | Anna Moore | Behavior Technician | 1101 S Winchester Blvd Ste B110, San Jose, CA 95128-3914 | 2019-03-22 |
| 1851834576 | Anna Moore | Physician Assistant | 12631 E 17th Ave, Mail Stop B202, Aurora, CO 80045-2527 | 2016-11-29 |
| 1699123851 | Anna Moore | Speech-Language Pathologist | 956 Mathias Dr, Springdale, AR 72762-0985 | 2016-05-28 |
| Street Address |
FIVE RIVERS FAMILY HEALTH CENTER 2261 PHILADELPHIA DR. SUITE 301 |
| City | DAYTON |
| State | OH |
| Zip Code | 45406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760839187 | Micah Rejcek | Student in an Organized Health Care Education/Training Program | Five Rivers Family Health Center, 2261 Philadelphia Drive Suite 301, Dayton, OH 45406 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942786595 | Lawrence J Harper Jr. | Counselor | 1855 Kipling Dr, Dayton, OH 45406 | 2018-07-17 |
| 1114446937 | James Lee | Licensed Practical Nurse | 1687 Wesleyan Rd., Dayton, OH 45406 | 2017-09-13 |
| 1497280762 | Pam Taylor | Licensed Practical Nurse | 3339 Arlene Ave, Dayton, OH 45406 | 2017-04-25 |
| 1811428543 | Kimberly Hawkins | Licensed Practical Nurse | 3660 Pittsburg Ave, Dayton, OH 45406 | 2017-03-24 |
| 1134505233 | Julia Ahrns | Dietitian, Registered | 2261 Philadelphia Dr., Dayton, OH 45406 | 2015-07-31 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1518285337 | Johwanna Martin | Registered Nurse | 2055 Ravenwood Ave, Dayton, OH 45406 | 2010-05-05 |
| 1003051913 | Fawnette Thomas | Social Worker | 2116 University Place, Dayton, OH 45406 | 2008-12-05 |
| 1043478654 | Mvhe Inc | Hospitalist | 2661 Salem Ave Davue Building, Suite 220, Dayton, OH 45406 | 2008-05-30 |
| 1861697252 | John Paul Ryan | Pharmacist | 1100 Salem Avenue, Dayton, OH 45406 | 2007-06-18 |
| Find all providers in zip 45406 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434925 | Madeline Mae Juergens | Student in an Organized Health Care Education/Training Program | 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 | 2020-10-14 |
| 1932729662 | Benjamin Mallicoat | Student in an Organized Health Care Education/Training Program | 128 E Apple St Ste 2800, Dayton, OH 45409-2902 | 2020-04-22 |
| 1306465877 | Chase Smith | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St Bldg 330, Dayton, OH 45428-9000 | 2020-04-14 |
| 1255960233 | Landon Rosevear | Student in an Organized Health Care Education/Training Program | 128 E Apple St Fl 7, Dayton, OH 45409-2902 | 2020-04-02 |
| 1598392391 | Brett Douglas Foster | Student in an Organized Health Care Education/Training Program | 12 Garret St, Dayton, OH 45410-1226 | 2020-03-24 |
| 1538706940 | Anthony Kelemen | Student in an Organized Health Care Education/Training Program | Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2019-12-04 |
| 1275184764 | Rachel Wininger | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Building 3640 Colonel Glenn Highway, Dayton, OH 45435-0001 | 2019-09-25 |
| 1801444955 | Ashley Elizabeth Murphy | Student in an Organized Health Care Education/Training Program | Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 | 2019-09-02 |
| 1245888304 | Melissa Irene Schmerr | Student in an Organized Health Care Education/Training Program | School of Professional Psychology Wright State Universi, 117 Health Science Bldg. 3640 Colonel Glenn Hwy., Dayton, OH 45435-0001 | 2019-08-30 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| Find all providers in DAYTON | ||||
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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.