DR. JUSTIN DERRICK MOORE (NPI# 1619323946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619323946 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN DERRICK MOORE |
| Other Name | JUSTIN DERRICK MOORE |
| Credential | M.D. |
| Practice Address |
9500 Euclid Ave # 44195 Cleveland OH 44195-2648 |
| Mailing Address |
3260 Daleford Rd Shaker Heights OH 44120-3436 |
| Practice Telephone | 8102231330 |
| Mailing Telephone | 8102231330 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 35.139964 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346620119 | Justin R Moore | Counselor | 10 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-5312 | 2015-06-05 |
| 1619171568 | Justin J Moore | Counselor | Hu Box # 12262, Searcy, AR 72149-0001 | 2007-06-13 |
| 1619185006 | Justin Donald Moore | Physical Therapist | 4819 1st St S, Arlington, VA 22204-1315 | 2007-05-18 |
| 1366444267 | Justin L Moore | Specialist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2005-08-11 |
| 1831743699 | Justin Moore | Physical Therapy Assistant | 3470 Landers Rd, North Little Rock, AR 72117 | 2019-07-30 |
| 1346704970 | Justin Moore | Community Health Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2019-01-28 |
| 1699279117 | Justin Earl Moore | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-03-20 |
| 1437689122 | Justin Moore | Marriage & Family Therapist | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2017-06-14 |
| 1487005393 | Justin Anthony Moore | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-06-22 |
| 1346602406 | Justin Murray Moore | Neurological Surgery | 110 Francis St, Lowry Building, Suite 3b, Boston, MA 02215 | 2016-03-27 |
| Street Address |
9500 EUCLID AVE # 44195 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44195-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646738 | Kristen N Smith | Nurse Practitioner | 9500 Euclid Ave # 44195, Cleveland, OH 44195-0001 | 2019-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041107 | Rachael Kaplan | Nurse Practitioner | Cleveland Clinic Anesthesia Institute, 9500 Euclid Ave, Cleveland, OH 44195 | 2020-07-27 |
| 1831707967 | Sarah Mcgee | Genetic Counselor, MS | 9500 Euclid Ave R4, Cleveland, OH 44195 | 2020-07-15 |
| 1578192134 | Cassandra Garraud | Student in an Organized Health Care Education/Training Program | 9500 Euclid Avenue Na-23, Cleveland, OH 44195 | 2020-04-06 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1326527961 | Varinder Kaur Randhawa | Internal Medicine | Cleveland Clinic - Main Campus, 9500 Euclid Avenue, Cleveland, OH 44195 | 2018-08-13 |
| 1487148029 | Larissa Caitlin Combs | Anesthesiology | 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2018-06-18 |
| 1306335237 | Sarah Elizabeth Mazzola | Genetic Counselor, MS | 9500 Euclid Ave Ne 50, Genomic Medicine Institute, Cleveland, OH 44195 | 2018-05-07 |
| 1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
| 1174010144 | Natalie W. Weigand | Nurse Practitioner | 9500 Euclid Avenue A81, Cleveland, OH 44195 | 2018-04-16 |
| 1164924114 | Baha'eddin Ahmad Ibrahim Muhsen | Neurological Surgery | 10201 Carnegie Ave, Ca Building, Cleveland, OH 44195 | 2018-03-06 |
| Find all providers in zip 44195 | ||||
| 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 |
|---|---|---|---|---|
| 1316508385 | Alexandra Ciabattone | Obstetrics & Gynecology | 2301 N Ocoee St Ste A, Cleveland, TN 37311-3869 | 2019-06-21 |
| 1548799497 | Melanie Katz | Obstetrics & Gynecology | 9500 Euclid Ave Apt 5, Cleveland, OH 44195-0001 | 2017-06-05 |
| 1902226608 | Alexander Kotlyar | Obstetrics & Gynecology | 9500 Euclid Ave # Deska81, Cleveland, OH 44195 | 2014-04-21 |
| 1861815151 | Megan Orlando | Obstetrics & Gynecology | 2049 East 100th Street A8, Cleveland, OH 44195-3518 | 2014-01-23 |
| 1326489063 | Elliott G Richards | Obstetrics & Gynecology | 9500 Euclid Ave Dept Obgyn, Cleveland, OH 44195-0001 | 2013-07-10 |
| 1265777965 | Nancy K Johnson | Obstetrics & Gynecology | 16 W Mather Ln, Cleveland, OH 44108-1158 | 2012-12-06 |
| 1003179581 | Elizabeth V Connor | Obstetrics & Gynecology | 2409 E 100th St, A81 Gynecologic Oncology, Cleveland, OH 44195-0001 | 2012-06-20 |
| 1417243106 | Viviana Casas-puig | Obstetrics & Gynecology | 9500 Euclid Ave # Deska-81, Cleveland, OH 44195-2307 | 2011-06-22 |
| 1821171166 | Keith I.g. Spooner | Obstetrics & Gynecology | 117 S William Barnett Ave, Suite A, Cleveland, TX 77327-4542 | 2006-10-23 |
| 1285728626 | Bradley Rex Baugh | Obstetrics & Gynecology | 801 First St, Cleveland, MS 38732 | 2006-10-02 |
| Find all providers in CLEVELAND | ||||
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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.