DR. MICHAEL J MOORE (NPI# 1689655151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689655151 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J MOORE |
| Credential | MD |
| Practice Address |
131 Ornac John Cummings Bldg Concord MA 01742-4181 |
| Mailing Address |
Po Box 9132 Brookline MA 02446-9132 |
| Practice Telephone | 7812590803 |
| Mailing Telephone | 8009270002 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 29410 | MA | Other Service Providers |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
29410 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3196640 | 05 | |
| MA | BCBS | B23053 | 01 |
| MA | BMC HEALTHNET | 000000024368 | 01 |
| MA | UNITED HEALTHCARE | 05-04349 | 01 |
| MA | TUFTS | 029410 | 01 |
| MA | HARVARD PILGRIM | 11461 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115582 | Michael Shane Moore | Physical Medicine & Rehabilitation | 2757 Vandy Ct, Montgomery, AL 36110-1339 | 2020-08-17 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1508327537 | Michael D Moore | Nurse Practitioner | 1012 Center Dr, Richmond, KY 40475-3838 | 2019-03-31 |
| 1407393846 | Michael Charles Moore | Counselor | 2123 W 77th St, Los Angeles, CA 90047-2312 | 2017-01-24 |
| 1356884852 | Michael Lemuel Moore II | Counselor | 665 Rotunda Way, Brentwood, CA 94513-5534 | 2016-12-01 |
| 1154778355 | Michael Moore | Pharmacist | 10604 Hinderhill Dr, Bakersfield, CA 93312-7038 | 2016-05-17 |
| 1750747564 | Michael Moore | Developmental Therapist | 220 Pebble Creek Rd, Powell, WY 82435-2271 | 2016-01-08 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1558742734 | Michael B Moore | Nurse Practitioner | 3040 College St, Beaumont, TX 77701-4606 | 2015-06-14 |
| 1033517578 | Michael D. Moore | Hearing Instrument Specialist | 11834 County Road 101, Suite 202, The Villages, FL 32162 | 2014-12-16 |
| Street Address |
131 ORNAC JOHN CUMMINGS BLDG |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408765 | Hytho H Pantazelos | Plastic Surgery | 131 Ornac, Ste 510, Concord, MA 01742-4162 | 2005-06-27 |
| 1871965483 | Nathan Narasimhan Md | Surgery | 131 Ornac, John Cuming Building Ste 700, Concord, MA 01742-4181 | 2015-10-22 |
| 1841594694 | Compassionate Care Associates | Clinic/Center | 131 Ornac, Suite 610, Concord, MA 01742-4181 | 2011-01-07 |
| 1487982278 | Wolfberg PC | Radiologic Technologist | 131 Ornac, Suite 710, Concord, MA 01742-4181 | 2009-12-07 |
| 1124291141 | Brooke R Seckel Md LLC | Plastic Surgery | 131 Ornac, Suite 700 John Cuming Building, Concord, MA 01742-4181 | 2008-04-10 |
| 1164695847 | Nathan Paul Narasimhan | Surgery | 131 Ornac, John Cuming Building Ste 700, Concord, MA 01742-4181 | 2008-04-02 |
| 1386812857 | Marjorie Trotter Marto | Physician Assistant | 131 Ornac, John Cuming Buliding - Suite 200, Concord, MA 01742-4181 | 2008-02-18 |
| 1720265770 | Plastic Surgicenter Inc | Plastic Surgery | 131 Ornac, John Cuming Building Suite 510, Concord, MA 01742 | 2008-01-22 |
| 1770774242 | Russell B. Butler, Md, PC | Psychiatry & Neurology | 131 Ornac, Jcb 730, Concord, MA 01742-4181 | 2007-08-08 |
| 1679773667 | Robert C. Cantu Md Neurological Surgery, Inc. | Specialist | 131 Ornac, John Cuming Building Suite 820, Concord, MA 01742-4181 | 2007-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417044553 | Jeanine G Reczek | Psychiatry & Neurology | 300 Baker Ave, Concord, MA 01742-2131 | 2006-10-09 |
| 1841386968 | Eric K Larson | Psychiatry & Neurology | 280 Pleasant Street, Suite 12, Concord, NH 03301-2553 | 2006-10-05 |
| 1801997259 | Daniel Thomas Garber | Psychiatry & Neurology | 400 Penny Ln, Concord, NC 28025-1217 | 2006-09-26 |
| 1497773584 | Barry Lester Levin | Psychiatry & Neurology | Suite 760, 131 Ornac, Concord, MA 01743-4181 | 2006-07-17 |
| 1144207564 | Gary L. Stanton, Md PC | Psychiatry & Neurology | 131 Ornac John Cummings Bld., Concord, MA 01742 | 2005-12-28 |
| 1215914080 | Francois Picot | Psychiatry & Neurology | 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 | 2005-12-22 |
| 1598749939 | Gary Stanton | Psychiatry & Neurology | John Cummings Bldg, Emmerson Hospital, Ste 500, Concord, MA 01742 | 2005-11-30 |
| 1083026710 | Joshua Stone | Psychiatry & Neurology | 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 | 2014-05-29 |
| 1952711830 | Claire Emily Reynolds Carrazco | Psychiatry & Neurology | 133 Old Road To 9 Acre Cor, Concord, MA 01742 | 2014-05-01 |
| 1922428606 | Stephanie Mcneill | Psychiatry & Neurology | 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 | 2014-04-22 |
| Find all providers in CONCORD | ||||
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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.