MAURICE MOORE (NPI# 1669838652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669838652 |
| Entity Type | Individual |
| Full Name | MAURICE MOORE |
| Practice Address |
1695 County Road D E 203 Maplewood MN 55109-5333 |
| Practice Telephone | 6122423227 |
| Mailing Telephone | 6122423227 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | W263205113111 | MN | Other Service Providers |
| Street Address |
1695 COUNTY ROAD D E 203 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114416930 | Frito Geffrard | Driver | 1550 Springfield Ave, Maplewood, NJ 07040-2552 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322273 | Melissa Jo Dahlstrom | Driver | 185 Hidden Vly, Minnesota City, MN 55959-1231 | 2020-09-30 |
| 1346866100 | Oral M Sledge | Driver | 4261 Penn Ave N, Minneapolis, MN 55412-1537 | 2020-06-17 |
| 1790318186 | Grace Edith Line | Driver | 2934 168th Ln Nw, Andover, MN 55304-1928 | 2020-02-13 |
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1174180640 | Kathryn L Pederson | Driver | 22329 141st St Ne, Hawick, MN 56273-7705 | 2019-05-21 |
| 1336606912 | Oluseye Akeem Adenusi | Driver | 6609 Hillsboro Ave N, Brooklyn Park, MN 55428-1862 | 2019-03-01 |
| 1710444146 | Abdi Fatah | Driver | 2509 Pillsbury Ave S Apt 208, Minneapolis, MN 55404-4206 | 2019-02-21 |
| 1932665403 | Mark Shea | Driver | 17242 Horizon Trl Se, Prior Lake, MN 55372-3939 | 2019-02-20 |
| 1861975765 | Kenyi Okucu | Driver | 1490 148th Ave Nw, Andover, MN 55304-3459 | 2018-09-07 |
| 1013498872 | Nebiyu Jamal Fanta | Driver | 478 University Ave W, Saint Paul, MN 55103-1935 | 2018-08-28 |
| Find all providers with the same taxonomy | ||||
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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.