CAITLIN C MOORE (NPI# 1588064869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588064869 |
| Entity Type | Individual |
| Full Name | CAITLIN C MOORE |
| Credential | PA-C |
| Practice Address |
1 Bartol Ave Suite 100 Ridley Park PA 19078-2214 |
| Practice Telephone | 6105218970 |
| Practice Fax Number | 6105213983 |
| Mailing Telephone | 6105218970 |
| Mailing Fax Number | 6105213983 |
| Enumeration Date | 2014-08-24 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA057053 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700216082 | Caitlin S. Moore | Psychologist | 100 Shoreline Hwy Ste 100, Mill Valley, CA 94941-3645 | 2013-11-22 |
| 1366051484 | Caitlin Moore | Pharmacist | 92 Plaza Ln, Oxford, AL 36203-2440 | 2020-07-24 |
| 1699336941 | Caitlin A Moore | Nurse Practitioner | 101 Edwards Hall, Clemson, SC 29634-0001 | 2019-06-27 |
| 1598233793 | Caitlin Ann Moore | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524 | 2018-11-06 |
| 1710483656 | Caitlin Moore | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2018-03-31 |
| 1598117020 | Caitlin Moore | Physician Assistant | 619 19th St S, Birmingham, AL 35249 | 2016-07-08 |
| 1043686660 | Caitlin Moore | Pharmacist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2015-08-18 |
| 1336537513 | Caitlin Moore | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2014-12-22 |
| Street Address |
1 BARTOL AVE SUITE 100 |
| City | RIDLEY PARK |
| State | PA |
| Zip Code | 19078-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010444 | Howard T Gitter | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078 | 2005-08-15 |
| 1700419991 | Christine Elizabeth Carroll | Nurse Practitioner | 1 Bartol Ave, Ridley Park, PA 19078-2214 | 2020-02-17 |
| 1740637255 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2016-05-16 |
| 1346588258 | Kaitlin Elizabeth Ciotoli | Nurse Practitioner | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2013-01-28 |
| 1366786055 | Health Access Network | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2012-11-19 |
| 1225395817 | Ifeoma Nwabuzor | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2012-04-19 |
| 1346512688 | Lacey M. O'hara | Physician Assistant | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2012-02-02 |
| 1104110535 | Lewis W Lo | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2011-06-02 |
| 1184944167 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Internal Medicine | 1 Bartol Ave, Ste 100, Ridley Park, PA 19078-2214 | 2010-06-02 |
| 1154649234 | Michelle Christine Mergenthal | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2010-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952762999 | Rita Ropski | Physical Therapy Assistant | 115 Rosemont Ave, Ridley Park, PA 19078 | 2016-03-18 |
| 1063871846 | Knopf Radiology and Health Services | Clinic/Center | 634 E,chester Pike, Apt F 1, Ridley Park, PA 19078 | 2016-02-22 |
| 1932574340 | Benjamin Chartier | Physician Assistant | 105 Henderson Ave, Ridley Park, PA 19078 | 2015-12-10 |
| 1992068811 | Angel Companions of Delaware County, LLC | Home Health | 113 East Sellers Ave, Suite B, Ridley Park, PA 19078 | 2012-06-18 |
| 1023276425 | Martin Joseph Dwyer Jr. | Dentist | 212 Chester Pike West, Ridley Park, PA 19078 | 2008-06-02 |
| 1881893543 | Rhonda Lee Lagamba | Occupational Therapy Assistant | 175 Chester Pike, Ridley Park, PA 19078 | 2007-07-13 |
| 1205977592 | Leedom Fire Company No 1 | Ambulance | Darby Rd and Clymer La, Ridley Park, PA 19078 | 2007-02-09 |
| 1881758506 | Collins Chiropractic P.C. | Chiropractor | 648 A East Chester Pike, Ridley Park, PA 19078 | 2006-12-20 |
| 1164518742 | John Samuel Rizzo | Ophthalmology | 8 Morton Avenue, Suite 101, Ridley Park, PA 19078 | 2006-10-04 |
| 1972511947 | John R Callahan Dds Assoc | Dentist | 101 E Ward Ave, Ridley Park, PA 19078 | 2006-08-04 |
| Find all providers in zip 19078 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932574340 | Benjamin Chartier | Physician Assistant | 105 Henderson Ave, Ridley Park, PA 19078 | 2015-12-10 |
| 1114171774 | Nicholas Archer | Physician Assistant | 175 E Chester Pike, Taylor Hospital--operating Room, Ridley Park, PA 19078-2212 | 2008-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1427530831 | Jordan L Ball | Physician Assistant | 30 Hope Dr # 1200, Hershey, PA 17033-2036 | 2018-08-31 |
| 1740707298 | Robyn Mcnamee | Physician Assistant | 142 Clearview Cir Ste 110, Butler, PA 16001-1565 | 2017-08-25 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1083169890 | Ellen Cannon | Physician Assistant | 1023 Marlin Dr, West Chester, PA 19382-2360 | 2016-08-22 |
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
| Find all providers with the same taxonomy | ||||
| City | RIDLEY PARK |
| Zip Code | 19078 |
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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.