LAUREN MOORE (NPI# 1578840922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578840922 |
| Entity Type | Individual |
| Full Name | LAUREN MOORE |
| Credential | PA-C |
| Practice Address |
700 Cottman Ave Suite 201 Philadelphia PA 19111-3062 |
| Practice Telephone | 2157429900 |
| Practice Fax Number | 2157427051 |
| Mailing Telephone | 2157429900 |
| Mailing Fax Number | 2157427051 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841843570 | Lauren Moore | Student in an Organized Health Care Education/Training Program | 2312 Mount Vernon Ave Ste 201, Alexandria, VA 22301-1375 | 2019-07-22 |
| 1316441348 | Lauren Taylor Moore | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 376 W. 10th Ave, Columbus, OH 43210 | 2018-03-23 |
| 1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
| 1831635978 | Lauren Alese Moore | Behavior Technician | 1025 Pacific Hills Pt, Apt. 305, Colorado Springs, CO 80906-8442 | 2017-01-12 |
| 1841662590 | Lauren Michelle Moore | Physical Therapy Assistant | 5718 Beach Drive, Panama City Beach, FL 32408 | 2015-10-21 |
| 1891124608 | Lauren Moore | Nurse Practitioner | 100 E Carroll St Ste 301&406, Salisbury, MD 21801-5422 | 2013-11-02 |
| 1467771360 | Lauren E Moore | Contractor | 2219 N Ralph Ave, Tucson, AZ 85712-3262 | 2010-05-18 |
| 1407097470 | Lauren Gillis Moore | Family Medicine | 13960 Florida Boulevard, Livingston, LA 70754 | 2009-03-20 |
| 1821654484 | Lauren E Moore | Social Worker | 5200 Park Rd Ste 102c, Charlotte, NC 28209-3650 | 2019-05-18 |
| 1093371767 | Lauren Moore | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2019-05-17 |
| Street Address |
700 COTTMAN AVE SUITE 201 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-3062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595023 | Benjamin Paul Stewart | Nurse Anesthetist, Certified Registered | 700 Cottman Ave, Ste 201, Philadelphia, PA 19111-3062 | 2005-08-16 |
| 1104371780 | Julie Holesh | Physician Assistant | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2016-08-24 |
| 1700233020 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 700 Cottman Ave, Philadelphia, PA 19111-3062 | 2016-05-17 |
| 1124238134 | Misty Sue Harth | Physician Assistant | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2007-05-22 |
| 1609081041 | Corey Stefan Brotz | Internal Medicine | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-1232 | 2007-05-11 |
| 1972678449 | Pgc Endoscopy Center for Excellence, LLC | Clinic/Center | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2006-11-21 |
| 1639280456 | Eastern Pennsylvania Crna Services | Nurse Anesthetist, Certified Registered | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2006-08-31 |
| 1972528610 | Shiban K Raina | Internal Medicine | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2006-07-13 |
| 1699790790 | Bruce P Gelman | Internal Medicine | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2006-07-12 |
| 1225053259 | Daniel J. Sher | Internal Medicine | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1356951024 | Murielle M Boursiquot | Physician Assistant | 7901 Henry Ave Apt G302, Philadelphia, PA 19128-3072 | 2020-08-06 |
| 1134757156 | Julie Hutchison | Physician Assistant | 2922 N 5th St, Philadelphia, PA 19133-2801 | 2020-03-27 |
| 1174155857 | Rebecca Volpe | Physician Assistant | 738 Longshore Ave, Philadelphia, PA 19111-4325 | 2020-02-10 |
| 1306308879 | Ria Raju | Physician Assistant | 7909 Lawndale Ave, Philadelphia, PA 19111-2652 | 2019-04-03 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1487119186 | Shelby Elizabeth Ginsburg | Physician Assistant | 1200 W Tabor Rd Fl Bl4, Philadelphia, PA 19141-3019 | 2019-02-06 |
| 1346720059 | Noelle Elizabeth Mullanaphy | Physician Assistant | 4031 Sheffield St, Philadelphia, PA 19136-3101 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on LAUREN 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.