CHARLES H MOORE, MD PA (NPI# 1669508396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669508396 |
| Entity Type | Organization |
| Organization Name | CHARLES H MOORE, MD PA |
| Practice Address |
613 Elizabeth St Suite 511 Corpus Christi TX 78404-2220 |
| Practice Telephone | 3618840033 |
| Mailing Telephone | 3618840033 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-09-09 |
| Authorized Official Name | CHARLES H MOORE (PRESIDENT) |
| Authorized Official Telephone | 3618840033 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | D1744 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0058MH | 01 |
| TX | 115054205 | 05 |
| 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 | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1518273986 | Ashraf Ibrahim Reyad | Transplant Surgery | 909 9th Ave Ste 201, Fort Worth, TX 76104-3916 | 2010-08-24 |
| 1326372418 | Karoly Varga | Transplant Surgery | 5615 Twin Rivers Ct, Sugar Land, TX 77479-7133 | 2009-09-23 |
| 1922252717 | Methodist Physician Practices, Pllc | Transplant Surgery | 15727 Anthem Pkwy Ste 600, San Antonio, TX 78249-4158 | 2008-11-06 |
| 1043462609 | Aldo Elmer Rafael Yarihuaman | Transplant Surgery | 621 N Hall St Ste 120, Dallas, TX 75226-1307 | 2008-10-15 |
| 1235393208 | Tiffany L Anthony | Transplant Surgery | 7777 Forest Ln Ste B446, Dallas, TX 75230 | 2008-07-17 |
| 1023208949 | Govardhana Rao Yannam | Transplant Surgery | 2060 Space Park Dr Ste 100, Houston, TX 77058-3674 | 2007-07-26 |
| 1124240890 | Mourad Mousa Alsabbagh | Transplant Surgery | 1100 E Dove Ave Ste 200, Mcallen, TX 78504-4681 | 2007-05-03 |
| 1699805911 | Steven I. Hanish | Transplant Surgery | 5939 Harry Hines Blvd Ste 700, Dallas, TX 75235-6243 | 2007-03-06 |
| 1295889202 | Sameh Fayek | Transplant Surgery | 909 9th Ave Ste 402, Fort Worth, TX 76104-3932 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
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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.