RUSSELL M MOORE (NPI# 1609169648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609169648 |
| Entity Type | Individual |
| Full Name | RUSSELL M MOORE |
| Credential | M.D. |
| Practice Address |
300 Linwood Ave Buffalo NY 14209-1802 |
| Mailing Address |
403 Lafayette Ave Apt 3 Buffalo NY 14213-1462 |
| Practice Telephone | 7169619400 |
| Practice Fax Number | 7169619402 |
| Mailing Telephone | 7862696219 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2015-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 279681 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578956124 | Russell Moore | Pharmacist | 20 Duke Medicine Cir # 5-1, Durham, NC 27710-2000 | 2015-03-06 |
| 1578525184 | Russell Ernest Moore | Dentist | 111 Industrial Park Rd, Johnstown, PA 15904-1940 | 2006-04-06 |
| 1962673848 | Russell T Moore | Pharmacist | 339 9th Ave Sw, Lafayette, AL 36862-2803 | 2008-03-18 |
| 1982881306 | Russell Adrian Moore | Anesthesiology | 633 Sunset Ln, Culpeper, VA 22701-3942 | 2008-01-28 |
| 1982815395 | Russell Keith Moore | Physical Therapist | 9601 Interstate 630 Exit 7, Physical Therapy, Little Rock, AR 72205-7202 | 2007-05-25 |
| Street Address |
300 LINWOOD AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14209-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304024 | Jennifer Abeles | Internal Medicine | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2005-05-23 |
| 1356904809 | Chrisana Pokorny | Student in an Organized Health Care Education/Training Program | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2019-04-19 |
| 1518520345 | Sandhya Joshi | Student in an Organized Health Care Education/Training Program | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2019-04-17 |
| 1538621511 | Shannon Marie Schmit | Student in an Organized Health Care Education/Training Program | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2019-04-01 |
| 1568969095 | Meghan Lynn Bohince | Student in an Organized Health Care Education/Training Program | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2018-04-11 |
| 1093212565 | Nisha Shah | Student in an Organized Health Care Education/Training Program | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2018-04-10 |
| 1710484407 | Paige Marie Matthews | Student in an Organized Health Care Education/Training Program | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2018-04-09 |
| 1215433537 | Jennifer Tarakmi | Student in an Organized Health Care Education/Training Program | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2018-04-04 |
| 1316471030 | Sonia John | Student in an Organized Health Care Education/Training Program | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2017-04-19 |
| 1417481581 | Akaash Kataria | Student in an Organized Health Care Education/Training Program | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2017-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 1194272799 | Joseph Michael Dellavalle | Physical Therapist | 969 Ellicott Street, Buffalo, NY 14209 | 2016-09-01 |
| 1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
| 1699177485 | Emily Catherine Gorman | Dietitian, Registered | 1084 Delaware Ave, Buffalo, NY 14209 | 2014-09-23 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1871885798 | Oncomed The Oncology Pharmacy of Buffalo Ny LLC | Pharmacy | 1100 Main St Ste 100, Buffalo, NY 14209 | 2011-05-11 |
| 1740583723 | Aryan Wahab | Student in an Organized Health Care Education/Training Program | 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 | 2010-12-13 |
| 1841500873 | Nicole Curtin | Chiropractor | 1275 Main St, Suite 110, Buffalo, NY 14209 | 2010-10-08 |
| Find all providers in zip 14209 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366076663 | Wny Community Health Centers, Inc | Internal Medicine | 135 Grant Street, Buffalo, NY 14213 | 2020-02-25 |
| 1992216907 | Providence Therapeutics, LLC | Internal Medicine | 141 Elm St Apt 3c, Buffalo, NY 14203-2083 | 2017-10-17 |
| 1598291866 | Muhammad Umar Bilal | Internal Medicine | 2157 Main Street, 5th Floor, University At Buffalo Chs Internal Medicine Training Pr, Buffalo, NY 14214 | 2017-05-05 |
| 1487180105 | Sandeep Kumar | Internal Medicine | 100 High Street - Buffalo General Medical Center, Buffalo, NY 14203 | 2017-05-02 |
| 1194072405 | Shameem Ahmad Beigh | Internal Medicine | 2157 Main Street, Sisters of Charity Hospital, Internal Medicine Residency Program, Buffalo, NY 14214-2080 | 2012-08-07 |
| 1598086902 | Lionel A. Sifontes, M.d, P.C. | Internal Medicine | 2772 Main St, Buffalo, NY 14214-1704 | 2010-06-21 |
| 1023338118 | Jeremiah O Sullivan Md PC | Internal Medicine | 2218 Main St, Buffalo, NY 14214-2635 | 2010-06-11 |
| 1518198993 | Marija Radovic | Internal Medicine | General Internal Medicine-e2 Buffalo General Hospital, 100 High Street, Buffalo, NY 14203 | 2009-08-03 |
| 1104075308 | Jiyeon Jung | Internal Medicine | 1500 Broadway Ave, Buffalo, NY 14212-1845 | 2008-09-11 |
| 1770778045 | Manoj Jacob Mammen | Internal Medicine | 100 High St # B-8, Department of Medicine, Buffalo, NY 14203-1126 | 2007-09-10 |
| Find all providers in BUFFALO | ||||
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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.