CHARLES H MOORE (NPI# 1659346658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659346658 |
| Entity Type | Individual |
| Full Name | CHARLES H MOORE |
| Credential | MD |
| Practice Address |
613 Elizabeth St Suite 511 Corpus Christi TX 78404-2220 |
| Practice Telephone | 3618840033 |
| Mailing Telephone | 3618840033 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D1744 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0058MH | 01 |
| TX | 115054205 | 05 | |
| TX | MEDICARE RR | P00367381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841790995 | Charles Edward Moore II | Case Manager/Care Coordinator | 2024 Te Ata Drive, Ada, OK 74820 | 2018-02-15 |
| 1114336310 | Charles Moore | Dentist | 1710 Trolley Rd Ste B, Summerville, SC 29485-8281 | 2014-08-13 |
| 1467620799 | Charles Robert Moore | Anesthesiology | 6129 Cottage Dr, Haslett, MI 48840-8939 | 2008-02-20 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1346452620 | Charles Maurice Moore | Counselor | 1516 Kelly Ct, Conover, NC 28613-7801 | 2007-05-07 |
| 1649497561 | Charles E Moore | Specialist | 1210 Miccosukee Rd, Tallahassee, FL 32308-5076 | 2007-04-20 |
| 1215053426 | Charles Robert Moore | Ophthalmology | 926 N Wilcrest Dr, Houston, TX 77079-3504 | 2007-03-21 |
| 1629020011 | Charles Henry Moore | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-05-16 |
| 1629038609 | Charles Edward Moore Jr. | Family Medicine | 2407 Helton Dr Ste B, Florence, AL 35630-1067 | 2006-03-24 |
| 1902877012 | Charles S Moore | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-01-27 |
| Street Address |
613 ELIZABETH ST SUITE 511 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869603 | Jose D Trevino | Anesthesiology | 613 Elizabeth St, Ste 805, Corpus Christi, TX 78404-2232 | 2005-05-23 |
| 1457908402 | Adrion Guillen | Nurse Practitioner | 613 Elizabeth St, Corpus Christi, TX 78404-2220 | 2019-08-23 |
| 1922459858 | Jazlene Garcia | Physician Assistant | 613 Elizabeth St, Ste 804, Corpus Christi, TX 78404-2220 | 2016-06-22 |
| 1801240841 | Natali Wooldridge | Nurse Practitioner | 613 Elizabeth St, Ste 512, Corpus Christi, TX 78404-2220 | 2016-04-15 |
| 1124480538 | Erica Rae Alejandre | Nurse Practitioner | 613 Elizabeth St, Suite 704, Corpus Christi, TX 78404-2220 | 2016-03-24 |
| 1154749083 | Colon and Rectal Associates of South Texas | Specialist | 613 Elizabeth St, Suite 612, Corpus Christi, TX 78404-2220 | 2014-03-28 |
| 1194061721 | Cindy Trevino Serna | Counselor | 613 Elizabeth St, Suite 805, Corpus Christi, TX 78404-2220 | 2012-12-31 |
| 1285928580 | C H Wilkinson Physician Network | Orthopaedic Surgery | 613 Elizabeth St, Ste 804, Corpus Christi, TX 78404-2220 | 2011-06-03 |
| 1083905442 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 613 Elizabeth St, Suite 402, Corpus Christi, TX 78404-2220 | 2011-04-20 |
| 1710284021 | Melinda Barrow Russell | Physician Assistant | 613 Elizabeth St, Suite 704, Corpus Christi, TX 78404-2220 | 2011-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174072862 | Stephanie Sellars | Specialist | 13905 Laffite Drive, Corpus Christi, TX 78418-6133 | 2016-09-23 |
| 1427403112 | Knv Therapy Home Services LLC | Specialist | 2505 Las Brisas St, Corpus Christi, TX 78414-5015 | 2016-04-30 |
| 1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
| 1346582095 | Gary Kao | Specialist | 5802 Saratoga Blvd Ste 330, Corpus Christi, TX 78414-4252 | 2013-03-20 |
| 1326310376 | Angel Cuellar Martinez | Specialist | 2701 Morgan Ave., Suite 600, Corpus Christi, TX 78405-1856 | 2012-02-07 |
| 1285903179 | South Texas Dermatology Pllc | Specialist | 1300 Third Street, Corpus Christi, TX 78404 | 2011-12-21 |
| 1497086524 | Valley Aids Council | Specialist | 400 Mann St, Ste 850, Corpus Christi, TX 78401-2046 | 2010-01-29 |
| 1215101159 | Ptmd Lp | Specialist | 5826 Esplanade Dr Ste 202c, Corpus Christi, TX 78414-4198 | 2008-04-22 |
| 1457536906 | South Texas Surgical Assistants, Inc. | Specialist | 321 Texan Trl, Suite 240, Corpus Christi, TX 78411-1825 | 2008-01-03 |
| 1548450190 | South Padre Island Pediatric Center | Specialist | 3845 S Spid Dr, Corpus Christi, TX 78415-2919 | 2007-07-30 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
Please comment or provide details below to improve the information on CHARLES H MOORE.
| 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.