JOHN L MOORE (NPI# 1609828466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609828466 |
| Entity Type | Individual |
| Full Name | JOHN L MOORE |
| Credential | MD |
| Practice Address |
1800 Roberts St Camden SC 29020-3759 |
| Mailing Address |
Po Box 1259 Sentinel Health Partners Pa Business Office Camden SC 29021 |
| Practice Telephone | 8034326186 |
| Practice Fax Number | 8034321177 |
| Mailing Telephone | 8037138350 |
| Mailing Fax Number | 8037138433 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 7066 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 070666 | 05 | |
| MEDCOST PIN | 81992 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
| 1609218379 | John Easter Moore Jr. | Social Worker | 2032 Sheffield Rd, Oklahoma City, OK 73120-4926 | 2013-07-23 |
| 1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
| 1487915799 | John S Moore | Registered Nurse | 26300 Ford Rd # 160, Dearborn Heights, MI 48127-2854 | 2012-06-04 |
| 1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
| 1205130176 | John Robert Moore | Family Medicine | 9715 Hurlbut Rd, Remsen, NY 13438-4621 | 2011-01-06 |
| 1548462385 | John William Moore IIi | Internal Medicine | 2643 Patterson Rd Ste 605, Grand Junction, CO 81506-1937 | 2007-06-04 |
| 1962612317 | John D Moore | Hearing Instrument Specialist | 7050 W Palmetto Park Rd Ste 20, Boca Raton, FL 33433-3462 | 2007-05-23 |
| Street Address |
1800 ROBERTS ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528276177 | Sentinel Health Partners, Pa | Obstetrics & Gynecology | 1800 Roberts St, Camden, SC 29020-3759 | 2007-05-18 |
| 1912946773 | Leland H King | Obstetrics & Gynecology | 1800 Roberts St, Camden, SC 29020-3759 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255675054 | Linda C Mcleod, Md, Pa | Obstetrics & Gynecology | 1009 Fairlawn Drive, Camden, SC 29020 | 2012-11-16 |
| 1902177074 | Marcia Hernandez | Obstetrics & Gynecology | 3 Cooper Plz Ste 201, Camden, NJ 08103-1438 | 2012-01-22 |
| 1164715959 | Khadija Najid | Obstetrics & Gynecology | 1600 Haddon Ave Fl 3, Camden, NJ 08103-3101 | 2011-05-26 |
| 1366602179 | Lynae Maria Brayboy | Obstetrics & Gynecology | 1011 Monitor Rd, Camden, NJ 08104-2721 | 2008-06-16 |
| 1932165735 | Frances Aileen Martinez | Obstetrics & Gynecology | 3 Cooper Plz Rm 300, Camden, NJ 08103 | 2006-04-21 |
| 1144219130 | Michael J Deary | Obstetrics & Gynecology | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2005-10-21 |
| 1073135190 | Amanda Malik | Obstetrics & Gynecology | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2020-05-12 |
| 1225680887 | Tieg Beazer | Obstetrics & Gynecology | 3 Cooper Plaza, Suite 300, Camden, NJ 08103 | 2019-07-14 |
| 1497307052 | Samantha So | Obstetrics & Gynecology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2019-07-14 |
| 1104488188 | Bianca Elena Hall | Obstetrics & Gynecology | 3 Cooper Plz Rm 221, Camden, NJ 08103-1438 | 2019-07-01 |
| Find all providers in CAMDEN | ||||
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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.