MR. ROGER L MOORE (NPI# 1558401497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558401497 |
| Entity Type | Individual |
| Full Name | MR. ROGER L MOORE |
| Practice Address |
710 Perryville Road Harrodsburg KY 40330 |
| Mailing Address |
1351 Newtown Pike Lexington KY 40511-1217 |
| Practice Telephone | 8592531686 |
| Practice Fax Number | 8592542743 |
| Mailing Telephone | 8592531686 |
| Mailing Fax Number | 8592542743 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
1088865 | KY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30615058 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942426424 | Roger Moore | Chiropractor | 21840 Highway 5, West Blocton, AL 35184-2747 | 2007-04-17 |
| 1194863001 | Roger Wayne Moore | Family Medicine | 1 Lockheed Blvd., Fort Worth, TX 76108 | 2007-02-02 |
| 1538231998 | Roger Byron Moore Jr. | Psychologist | 301-f Keisler Drive, Cary, NC 27518 | 2006-11-14 |
| 1366408080 | Roger T Moore | Dermatology | 111 N Nappanee St, Elkhart, IN 46514-1957 | 2006-04-21 |
| 1669476214 | Roger Moore | Optometrist | 14 Church Hill Rd, Newtown, CT 06470-1640 | 2005-06-10 |
| 1265921316 | Roger Moore | Counselor | 14572 Us Highway 23 Ste A, Waverly, OH 45690-9448 | 2018-05-04 |
| 1518131275 | Roger Moore | Marriage & Family Therapist | 509 Olive Way, Suite 1401, Seattle, WA 98101-1720 | 2008-04-14 |
| 1891726113 | Roger Moore | Family Medicine | 120 Hobart St, Utica, NY 13501-4308 | 2006-07-05 |
| 1750322822 | Roger A Moore | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2006-06-09 |
| 1295793099 | Roger L. Moore | Physician Assistant | 2929 S Garnett Rd, C/o Medcenter, Tulsa, OK 74129-5101 | 2006-05-02 |
| Street Address |
710 PERRYVILLE ROAD |
| City | HARRODSBURG |
| State | KY |
| Zip Code | 40330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645559 | Isaiah House Inc | Substance Abuse Rehabilitation Facility | 5866 Bohon Rd, Harrodsburg, KY 40330 | 2018-10-18 |
| 1760964514 | Ephraim Mcdowell Regional Medical Center, Incorporated | Durable Medical Equipment & Medical Supplies | 470 Linden Ave Ste 1, Harrodsburg, KY 40330 | 2018-08-29 |
| 1801225206 | Mercer County Health Department | Public Health or Welfare | 900 North College Street, Harrodsburg, KY 40330 | 2013-11-06 |
| 1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
| 1972815942 | Melanie Suzanne Hutti | Occupational Therapist | 853 W. Lexington Ave., Harrodsburg, KY 40330 | 2010-07-07 |
| 1821276338 | Blue Grass Community Action Partnership, Inc | Respite Care | Mercer County Adult Day Care, 1475 Louisville Road, Harrodsburg, KY 40330 | 2008-02-06 |
| 1457535973 | Active Body Chiropractic and Injury Center Pllc | Chiropractor | 507 Joseph Dr., Ste. 4, Harrodsburg, KY 40330 | 2007-12-19 |
| 1598947178 | Peggy E Kessler | Counselor | 712 Perryville Road, Harrodsburg, KY 40330 | 2007-12-05 |
| 1891994455 | Dr. Tammy G. Hoskins Optometry Psc | Optometrist | Harrodsburg Eye Center, 201 S Main St, Harrodsburg, KY 40330 | 2007-07-13 |
| 1508064171 | Angela Craig Logdon | Speech-Language Pathologist | 2200 Bohon Rd, Harrodsburg, KY 40330 | 2007-07-05 |
| Find all providers in zip 40330 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649310848 | Brenda Sue Ruckel | Registered Nurse | 710 Perryville Rd, Harrodsburg, KY 40330 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731419 | Kristen Rae Fugate | Registered Nurse | 101 Airport Gardens Rd Ste 200, Hazard, KY 41701-9510 | 2020-05-08 |
| 1457723033 | Lauren Bradbury | Registered Nurse | 1201 N. Ft. Thomas Ave., Ft. Thomas, KY 41075 | 2015-10-22 |
| 1033509393 | Dawn Garrett -wright | Registered Nurse | 350 Park Street Ste 204, Psychiatric Associates, Bowling Green, KY 42101-3516 | 2015-01-26 |
| 1548516040 | Danielle M. Mcpeak | Registered Nurse | 2355 Poplar Level Rd Ste 200, Louisville, KY 40217-1385 | 2012-08-02 |
| 1780816736 | Leigh Baldwin | Registered Nurse | 224 Powell St, Henderson, KY 42420-3529 | 2009-08-10 |
| 1962645853 | Freedom Psychiatry, Pllc | Registered Nurse | 489 Hammer Mill Rd, Wurtland, KY 41144-7798 | 2009-04-08 |
| 1053445858 | Gertrude Harmon | Registered Nurse | 869 Sparta Court, Lexington, KY 40504 | 2007-03-15 |
| 1750316501 | Mindy Chandler | Registered Nurse | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2006-07-11 |
| 1518921386 | Suzanne K. Barger | Registered Nurse | 513 Madison Ave, Covington, KY 41011-1562 | 2006-04-17 |
| 1780295402 | Anita Lynn Wells | Registered Nurse | 784 Highway 36, Frenchburg, KY 40322-8123 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | HARRODSBURG |
| Zip Code | 40330 |
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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.