CHARLES A MOORE (NPI# 1659551935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659551935 |
| Entity Type | Organization |
| Organization Name | CHARLES A MOORE |
| Practice Address |
123 N 19th St Suite 201 Middlesboro KY 40965-2865 |
| Mailing Address |
Po Box 309 Middlesboro KY 40965-0309 |
| Practice Telephone | 6062487630 |
| Practice Fax Number | 6062488803 |
| Mailing Telephone | 6062487630 |
| Mailing Fax Number | 6062488803 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | CHARLES A MOORE (OWNER) |
| Authorized Official Telephone | 6062487630 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
123 N 19TH ST SUITE 201 |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003816372 | Charles A Moore | Internal Medicine | 123 N 19th St, Suite 201, Middlesboro, KY 40965-2865 | 2005-07-28 |
| 1548673155 | Marcinia Michelle Bailey | Nurse Practitioner | 123 N 19th St, Suite A201, Middlesboro, KY 40965-2865 | 2014-06-11 |
| 1699195883 | Aimee Nicole Brock | Nurse Practitioner | 123 N 19th St, Middlesboro, KY 40965-2865 | 2014-04-26 |
| 1083996532 | Lynda Lynn Browning | Nurse Practitioner | 123 N 19th St, Middlesboro, KY 40965-2865 | 2011-09-11 |
| 1396924544 | Bruce T. Wilson,d.m.d., Psc | Dentist | 123 N 19th St, Middlesboro, KY 40965-2865 | 2007-10-24 |
| 1225220379 | Timothy L. Gardner, Dpm,pc | Podiatrist | 123 N 19th St, Middlesboro, KY 40965-2865 | 2007-08-13 |
| 1114133055 | Drs Rose and Thomas | Surgery | 123 N 19th St, Middlesboro, KY 40965 | 2007-05-15 |
| 1942250592 | Comprehensive Home Healthcare Services LLC | Case Management | 123 N 19th St, Suite 5, Middlesboro, KY 40965-2865 | 2006-05-12 |
| 1619978327 | Robert Lee Thomas Iv | Surgery | 123 N 19th St, Suite B301, Middlesboro, KY 40965-2865 | 2005-08-03 |
| 1881694271 | Medical Services of America Inc | Emergency Response System Companies | 123 N 19th St, Middlesboro, KY 40965-2865 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387064 | Christopher Bruce Ellison | Social Worker | 809 19th Street, Middlesboro, KY 40965 | 2019-10-14 |
| 1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
| 1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
| 1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
| 1184164287 | Wilson Jeffrey | Occupational Therapist | Address: 235 New Wilson Lane, Middlesboro, KY 40965 | 2017-03-08 |
| 1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
| 1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
| 1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
| Find all providers in zip 40965 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780142968 | August Pediatrics Teens N Tots Pediatrics | Clinic/Center | 123 N 19th St Ste 302, Middlesboro, KY 40965-2865 | 2019-03-07 |
| 1295986297 | Family Health Care Associates of Corbin | Clinic/Center | 2801 Us Highway 25 E, Suite 98, Middlesboro, KY 40965-2069 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1346714615 | Good Doctor | Clinic/Center | 9405 Us Highway 235, Stanville, KY 41659-9048 | 2019-01-19 |
| 1083192595 | Carson Black Lung Center of Pineville, Inc. | Clinic/Center | 820 Robert L. Maddon Bypass Third Fl, Pineville, KY 40977-1452 | 2018-08-06 |
| 1730665886 | William Shea | Clinic/Center | 149 Moore Dr, Lexington, KY 40503-2918 | 2018-07-12 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1245747674 | Phaup Chiropractic Center, LLC | Clinic/Center | 95 Ymca Dr Ste A, Madisonville, KY 42431-9035 | 2018-01-08 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1740717818 | Jones-o'neal Enterprises, Pllc | Clinic/Center | 135 Morgan St, Versailles, KY 40383-1428 | 2017-05-18 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
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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.