DR. DUANE P. MOORES (NPI# 1598755191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598755191 |
Entity Type | Individual |
Full Name | DR. DUANE P. MOORES |
Credential | M.D. |
Practice Address |
2500 Starling St Suite 506 Brunswick GA 31520-4265 |
Practice Telephone | 9124665506 |
Practice Fax Number | 9124665513 |
Mailing Telephone | 9124665506 |
Mailing Fax Number | 9124665513 |
Enumeration Date | 2005-10-25 |
Last Update Date | 2014-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
046998 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | BCBS | 774352 | 01 |
GA | 00830167A | 05 |
Street Address |
2500 STARLING ST SUITE 506 |
City | BRUNSWICK |
State | GA |
Zip Code | 31520-4265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851387310 | Coleman David Sudduth Jr. | Internal Medicine | 2500 Starling St, Suite 504, Brunswick, GA 31520-4265 | 2005-09-21 |
1811401854 | Sarah Renee Mobbs | Registered Nurse | 2500 Starling St, Brunswick, GA 31520 | 2017-11-29 |
1366987844 | Kristin Stenzel Orendorf | Nurse Practitioner | 2500 Starling St, Suite 501, Brunswick, GA 31520-4265 | 2016-12-20 |
1124576616 | Julie Small | Nurse Practitioner | 2500 Starling St, Suite 107, Brunswick, GA 31520-4265 | 2016-09-14 |
1083083547 | Laura Winkelman | Nurse Practitioner | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-15 |
1215305305 | Ahmed Elsharkawi, Md LLC | Internal Medicine | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-08 |
1619344223 | Elizabeth Blair Coleman | Physician Assistant | 2500 Starling St, Ste 403, Brunswick, GA 31520-4265 | 2015-08-31 |
1982967709 | Genesis Dme, Inc. | Durable Medical Equipment & Medical Supplies | 2500 Starling St, Suite 105 Seghs, Brunswick, GA 31520-4265 | 2012-06-18 |
1801166749 | Marion E Alston | Nurse Practitioner | 2500 Starling St, Suite 503, Brunswick, GA 31520-4265 | 2012-01-10 |
1376853507 | John F. Ellenberg, M.d., P.C. | Obstetrics & Gynecology | 2500 Starling St, 406, Brunswick, GA 31520-4265 | 2010-10-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720025588 | Charles K Tashima | Internal Medicine | 329 Maine Street, Brunswick, ME 04011 | 2006-06-01 |
1669451597 | Su-chiao Kuo | Internal Medicine | 3724 Center Rd, Suite 102, Brunswick, OH 44212 | 2006-01-10 |
1508865684 | Oncology Medical Center PC | Internal Medicine | 3226 G Hampton Ave, Brunswick, GA 31520-4251 | 2005-07-20 |
1285624882 | Abraham Cheong | Internal Medicine | 2500 Starling St, Suite 506, Brunswick, GA 31520-4265 | 2005-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881212553 | Tennessee Oncology, Pllc | Internal Medicine | 4645 Battlefield Pkwy, Ringgold, GA 30736-8011 | 2020-07-09 |
1265077234 | Hannah Alexis Tunks | Internal Medicine | 1504 N Thornton Ave Ste 102, Dalton, GA 30720-8394 | 2019-11-13 |
1538669296 | Nizar Jacques J Bahlis | Internal Medicine | Winship Cancer Institute 1365 Clifton Rd Building C, Atlanta, GA 30322-0001 | 2018-02-19 |
1831519891 | Arelis Salas Robinson | Internal Medicine | 1700 Tree Ln Ste 490, Snellville, GA 30078-6756 | 2014-04-17 |
1386063964 | Harpaul Gill | Internal Medicine | 3400c Old Milton Pkwy Ste 400, Alpharetta, GA 30005-4438 | 2014-04-10 |
1144664251 | Cancer Center of Middle Georgia, LLC | Internal Medicine | 2400 Bellevue Road, Suite 26 Erin Office Park, Dublin, GA 31021-2989 | 2013-04-19 |
1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
1598085193 | Mehmet Asim Bilen | Internal Medicine | Winship Cancer Institute of Emory University, 1365c Clifton Road, Atlanta, GA 30322-0001 | 2010-06-04 |
1336477934 | Satilla Cancer Treatment Centers, LLC | Internal Medicine | 2406 Bellevue Avenue, #7, Dublin, GA 31021-0000 | 2009-11-20 |
1770722431 | Satilla Regional Cancer Treatment Center | Internal Medicine | 101 Seymour Ave, Douglas, GA 31533-1917 | 2009-02-19 |
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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.