DR. RUBIN M MOORE JR. (NPI# 1598929507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598929507 |
| Entity Type | Individual |
| Full Name | DR. RUBIN M MOORE JR. |
| Credential | MD |
| Practice Address |
4500 College Blvd Suite 304 Overland Park KS 66211-1760 |
| Practice Telephone | 9133380400 |
| Practice Fax Number | 9133380428 |
| Mailing Telephone | 9133380400 |
| Mailing Fax Number | 9133380428 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2012-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
04-35621 | KS | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2008018201 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4500 COLLEGE BLVD SUITE 304 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710975792 | Richard Edward Patrick | Dentist | 4500 College Blvd, Suite 302, Overland Park, KS 66211-1799 | 2005-10-12 |
| 1326588666 | Jm Counseling Service LLC | Counselor | 4500 College Blvd, Suite 304, Overland Park, KS 66211-1916 | 2017-03-06 |
| 1629321369 | Carron Ellspermann Montgomery | Counselor | 4500 College Blvd, Suite 304, Overland Park, KS 66211-1760 | 2012-10-18 |
| 1386838605 | Michelle Renee Birdsell | Psychiatry & Neurology | 4500 College Blvd, Suite 304, Overland Park, KS 66211-1799 | 2007-08-29 |
| 1417088238 | Richard E Patrick Dds Pa | Clinic/Center | 4500 College Blvd, Suite 302, Overland Park, KS 66211-1799 | 2007-03-07 |
| 1881625713 | Jeanne P Mosca | Psychologist | 4500 College Blvd, Suite 304, Overland Park, KS 66211-1799 | 2006-07-06 |
| 1891724373 | Mike Hanson | Social Worker | 4500 College Blvd, Suite 304, Overland Park, KS 66211-1799 | 2006-06-30 |
| 1023044641 | Kansas City Psychiatric Group | Psychiatry & Neurology | 4500 College Blvd, Suite 304, Overland Park, KS 66211-1799 | 2006-06-24 |
| 1366488868 | Kenneth Neal Sonnenschein | Psychiatry & Neurology | 4500 College Blvd, Suite 304, Overland Park, KS 66211-1799 | 2006-06-22 |
| 1114962750 | Susan Brooks Hart | Social Worker | 4500 College Blvd, Suite 304, Overland Park, KS 66211-1799 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922442946 | Kathleen Ann Hunzicker | Psychiatry & Neurology | 5309 W 96th St, Overland Park, KS 66207-3213 | 2013-04-21 |
| 1124370234 | Richard Livingston Pentecost | Psychiatry & Neurology | 6620 Riggs St, Overland Park, KS 66202-4121 | 2012-10-12 |
| 1932314200 | Richard Joseph Bono Jr. | Psychiatry & Neurology | 5750 W 95th St, Suite 370, Overland Park, KS 66207-2920 | 2007-05-11 |
| 1861527053 | Brian Patrick Lahey | Psychiatry & Neurology | 7011 W 121st St Ste 105, Overland Park, KS 66209-2029 | 2007-02-21 |
| 1669516027 | Magno Buaya Gabales | Psychiatry & Neurology | 8801 Eby St, Overland Park, KS 66212-3638 | 2007-02-19 |
| 1043379522 | Beverley Faye James | Psychiatry & Neurology | 9101 W 73rd St Apt 206, Overland Park, KS 66204-1685 | 2006-12-08 |
| 1679650873 | Carol Lois Smith | Psychiatry & Neurology | 8600 W 110 Street, Suite 214, Overland Park, KS 66210-1805 | 2006-11-01 |
| 1730279472 | Raul Huet | Psychiatry & Neurology | 9536 Horton St, Overland Park, KS 66207-2826 | 2006-10-13 |
| 1023033560 | Anne S. Clark | Psychiatry & Neurology | 10500 Barkley St Ste 220, Overland Park, KS 66212-1838 | 2006-07-13 |
| 1386687697 | William R Hale | Psychiatry & Neurology | 10875 Grandview, Bldg. 22, Suite 2200, Overland Park, KS 66210-1510 | 2006-06-14 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.