CAROLYN MOORE (NPI# 1578544672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578544672 |
| Entity Type | Individual |
| Full Name | CAROLYN MOORE |
| Credential | MD |
| Practice Address |
155 Bricklayer Street Olive Hill KY 41164 |
| Mailing Address |
Po Box 1268 Olive Hill KY 41164-1268 |
| Practice Telephone | 6062864152 |
| Practice Fax Number | 6062862385 |
| Mailing Telephone | 6062864152 |
| Mailing Fax Number | 6062862385 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2015-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30072 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | 080077589 | 01 |
| KY | 64300726 | 05 | |
| KY | RAILROAD MEDICARE | 080104514 | 01 |
| KY | RAILROAD MEDICARE | 080069346 | 01 |
| KY | RAILROAD MEDICARE | 080096401 | 01 |
| KY | RAILROAD MEDICARE | 080099911 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588151740 | Carolyn Jean Moore | Physical Therapist | 100 Baldwin Blvd, Fishersville, VA 22939-2375 | 2018-04-13 |
| 1568725950 | Carolyn Diane Moore | Speech-Language Pathologist | 1544 Greenly St, Hudsonville, MI 49426-9674 | 2012-06-20 |
| 1346496379 | Carolyn S Moore | Nurse Practitioner | 4741 Rolling Meadows Dr, Memphis, TN 38128-4851 | 2008-08-11 |
| 1437358975 | Carolyn Neoma Moore | Recreation Therapist | 12007 S Cedar Ave, Jenks, OK 74037-3344 | 2007-07-14 |
| 1386869303 | Carolyn R. Moore | Social Worker | 50 Stutz Bearcat Dr, Suite 2, Sedona, AZ 86336-5268 | 2007-04-16 |
| 1578614731 | Carolyn Joyce Moore | Nurse Practitioner | 3579 Franklin, Eugene, OR 97403-2356 | 2007-01-15 |
| 1700934163 | Carolyn Jo Moore | Counselor | 2525 Maine Ave, Richmond, CA 94804-2827 | 2007-01-08 |
| 1184781486 | Carolyn Moore | Dentist | 257 Commerce Dr, Peachtree City, GA 30269-1484 | 2007-01-03 |
| 1659445450 | Carolyn Moore | Dentist | 1769 Inkster, Garden City, MI 48135-2499 | 2006-11-20 |
| 1750316758 | Carolyn Lewis Moore | Nurse Practitioner | 1718 North Foster Dr, Suite B, Baton Rouge, LA 70806 | 2006-07-11 |
| Street Address |
155 BRICKLAYER STREET |
| City | OLIVE HILL |
| State | KY |
| Zip Code | 41164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982037149 | Cindra Lynn Greene | Registered Nurse | 155 Bricklayer Street, Olive Hill, KY 41164-1268 | 2013-08-12 |
| 1346532918 | Elizabeth L Matera | Family Medicine | 155 Bricklayer Street, Olive Hill, KY 41164 | 2011-05-13 |
| 1336377936 | Leslie Watts | Nurse Practitioner | 155 Bricklayer Street, Olive Hill, KY 41164 | 2009-06-23 |
| 1710172259 | Mary Anne Brown | Nurse Practitioner | 155 Bricklayer Street, Olive Hill, KY 41164-1268 | 2007-09-07 |
| 1285771667 | St. Claire Medical Center, Inc | Clinic/Center | 155 Bricklayer Street, Olive Hill, KY 41164-1268 | 2007-02-01 |
| 1639131527 | St. Claire Medical Center,inc | Clinic/Center | 155 Bricklayer Street, Olive Hill, KY 41164 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672476 | Amy Lynn Bowling | Behavior Technician | 12008 W Hwy 60, Olive Hill, KY 41164 | 2020-06-05 |
| 1598390825 | Krista Stone | Behavior Technician | 12008 West Highway 60, Olive Hill, KY 41164 | 2020-03-06 |
| 1770053316 | Angela Hanshaw | Chore Provider | 1181 State Highway 3298, Olive Hill, KY 41164 | 2018-11-27 |
| 1306369368 | Walgreen Co | Pharmacy | 410 W Tom T Hall Blvd, Olive Hill, KY 41164 | 2017-07-21 |
| 1720539109 | Ashland Hospital Corporation | Physician Assistant | 8249 East Highway 60, Olive Hill, KY 41164 | 2016-10-20 |
| 1750793576 | Stacy D Bond | Nurse Practitioner | 155 Bricklayer St, Olive Hill, KY 41164 | 2014-05-28 |
| 1265853741 | Owen Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 136 Jessica Lane, Suite-e, Olive Hill, KY 41164 | 2013-12-30 |
| 1730519612 | Kandi Knipp-conn | Social Worker | 316 East Main Street, Morehead, KY 41164 | 2013-11-14 |
| 1063765857 | Heather Dawn Bond | Community Health Worker | 264 Smiths Creek, Olive Hill, KY 41164 | 2012-10-18 |
| 1285925388 | Richard Wayne Mccrocklin | Pharmacist | 410 West Tom T Hall Blvd, Olive Hill, KY 41164 | 2011-04-22 |
| Find all providers in zip 41164 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093762619 | Ashland Hospital Corporation | Family Medicine | 391 W Tom T Hall Blvd, Olive Hill, KY 41164-7688 | 2006-05-28 |
| 1497735591 | Clarence Franklin Lyons Jr. | Family Medicine | 33 Short Rdg, Olive Hill, KY 41164-8313 | 2006-01-17 |
| 1346532918 | Elizabeth L Matera | Family Medicine | 155 Bricklayer Street, Olive Hill, KY 41164 | 2011-05-13 |
| 1134157852 | Paul R Lewis | Family Medicine | 391 W Tom T Hall Blvd, Olive Hill, KY 41164-7688 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE HILL |
| Zip Code | 41164 |
Please comment or provide details below to improve the information on CAROLYN 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.