JEFFREY K MOORE (NPI# 1518963677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518963677 |
| Entity Type | Individual |
| Full Name | JEFFREY K MOORE |
| Credential | MD |
| Practice Address |
161 Marginal Way Portland ME 04101-2438 |
| Mailing Address |
15 Lowell St Portland ME 04102-2748 |
| Practice Telephone | 2077748277 |
| Mailing Telephone | 2077748277 |
| Mailing Fax Number | 2076995850 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 016500 | ME | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD16500 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 411850099 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Lowell St, Portland, ME 041022748 | 2077748277 | 2076995850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326399478 | Jeffrey David Moore | Physical Therapist | 700 Us Hwy 24 S, Buena Vista, CO 81211 | 2012-09-28 |
| 1023305109 | Jeffrey George Moore | Anesthesiology | 1433 Caring Ct, Maitland, FL 32751-4252 | 2011-07-08 |
| 1013233345 | Jeffrey Scott Moore | Social Worker | 430 E 450 S, Clearfield, UT 84015-1736 | 2010-04-12 |
| 1295991529 | Jeffrey W Moore | Dentist | 4011 E Renner Rd Ste 107, Richardson, TX 75082-2917 | 2008-08-06 |
| 1447318803 | Jeffrey Morgan Moore | Dentist | 11765 Mcminnville Hwy, Walling, TN 38587 | 2006-12-05 |
| 1003981085 | Jeffrey M Moore | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2006-11-22 |
| 1821196478 | Jeffrey K Moore | Orthopaedic Surgery | 4218-m Arendell St, Morehead City, NC 28557-2805 | 2006-09-20 |
| 1538273909 | Jeffrey Michael Moore | Chiropractor | 333 Commerce Dr Ste 175, Crystal Lake, IL 60014-3596 | 2006-08-19 |
| 1720013089 | Jeffrey Karl Moore Sr. | Medical Genetics, Ph.D. Medical Genetics | 514 Fisk St, Nashville, TN 37203-2846 | 2006-07-12 |
| 1447275557 | Jeffrey Moore | Optometrist | 4455 Cleveland Ave Ste A, Fort Myers, FL 33901-9057 | 2006-07-12 |
| Street Address |
161 MARGINAL WAY |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477952075 | Karen Stoughton | Nurse Practitioner | 161 Marginal Way, Portland, ME 04101-2438 | 2014-08-19 |
| 1376950337 | Ekaterina Funk | Nurse Practitioner | 161 Marginal Way, Portland, ME 04101-2438 | 2014-07-22 |
| 1831534031 | Cristina Churchill Rutherford | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2013-05-02 |
| 1376986513 | Kelly Daylyn Pizzo | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2013-04-08 |
| 1164710075 | Noemi Baffy | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2011-07-12 |
| 1831488477 | Karrie K Sweet | Dietitian, Registered | 161 Marginal Way, Portland, ME 04101 | 2011-04-05 |
| 1033363528 | Caitlin Phelps | Physician Assistant | 161 Marginal Way, Portland, ME 04101-2438 | 2008-11-10 |
| 1134325806 | Kate Forssell Kennedy | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2007-06-21 |
| 1891990602 | Daniil Rolshud | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2007-06-20 |
| 1508087289 | Portland Gastroenterology Associates P.a. | Internal Medicine | 161 Marginal Way, Portland, ME 04101 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477071926 | Nelsi Inc | Ophthalmology | 11786 Sw Barnes Rd Ste 270, Portland, OR 97225-5929 | 2017-09-05 |
| 1801077128 | Retina Center of Maine, LLC Pa | Ophthalmology | 195 Fore River Pkwy Ste 480, Portland, ME 04102-2787 | 2007-11-15 |
| 1093722258 | Brandon Lujan | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2006-08-01 |
| 1265485890 | Andreas K Lauer | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868674 | Sylvan Retina LLC | Ophthalmology | 35 Eastward Lane, #4- Suite A, Ellsworth, ME 04605-1744 | 2020-07-14 |
Please comment or provide details below to improve the information on JEFFREY K MOORE.
| 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.