DR. ANGELA A MOORE (NPI# 1699732339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699732339 |
| Entity Type | Individual |
| Full Name | DR. ANGELA A MOORE |
| Credential | MD |
| Practice Address |
3612 Southlinks Cv Memphis TN 38125-0758 |
| Mailing Address |
3612 Southlinks Cv. Memphis TN 38125 |
| Practice Telephone | 9017481819 |
| Mailing Telephone | 9017481819 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
36780 | TN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 36780A | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3878150 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941694 | Angela Moore | Home Health | 1905 Emily Blnd, Winter Haven, FL 33884-3388 | 2019-09-13 |
| 1699257766 | Angela Charice Moore | Counselor | 4581 S Lapeer Rd Ste F, Orion, MI 48359-2415 | 2018-09-05 |
| 1962911917 | Angela Courtney Moore | Nurse Practitioner | 5040 Nw 7th St Ste 750, Miami, FL 33126-3490 | 2017-09-21 |
| 1417496027 | Angela Moore | Counselor | 905 S 30th St, Broken Arrow, OK 74014-2848 | 2017-02-15 |
| 1992256309 | Angela Moore | Nurse's Aide | 519 W 2nd St, Genoa, IL 60135-1058 | 2016-10-20 |
| 1124579156 | Angela Moore | Occupational Therapist | 7204 Donneeford Rd, Wake Forest, NC 27587-8026 | 2016-10-14 |
| 1760704381 | Angela Santa Moore | Dentist | 1516 Michael Dr, Bedford, TX 76022-7248 | 2010-02-23 |
| 1962631317 | Angela Moore | Specialist | 47 Murray Guard Dr Ste B, Jackson, TN 38305-3765 | 2009-07-07 |
| 1184864076 | Angela Sue Moore | Family Medicine | 2131 N Ridge Road, Wichita, KS 67212-1570 | 2009-03-05 |
| 1073751830 | Angela Leigh Moore | Chiropractor | 3751 S Clyde Morris Blvd Unit 7, Port Orange, FL 32129-2356 | 2009-01-30 |
| Street Address |
3612 SOUTHLINKS CV |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-0758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417197 | West Clinic, P. C. | Radiology | 5999 Manor Cv, Memphis, TN 38120-3105 | 2020-11-04 |
| 1114528205 | West Clinic, P. C. | Radiology | 708 W Suggs Dr, Memphis, TN 38120-2741 | 2020-11-04 |
| 1447851530 | West Clinic, P. C. | Radiology | 5740 The Forest Gate Rd, Memphis, TN 38120-2540 | 2020-11-04 |
| 1720689169 | West Clinic, P. C. | Radiology | 5396 Gwynne Rd, Memphis, TN 38120-1908 | 2020-11-03 |
| 1558990788 | Sanitas Medical Center of Tennessee PC | Radiology | 438 N Cleveland St, Memphis, TN 38104-7014 | 2020-04-08 |
| 1912394495 | Eniola Oladosu Fagbongbe | Radiology | 1265 Union Ave, 7 Thomas Wing, Room 707, Memphis, TN 38104 | 2015-04-22 |
| 1033554589 | Phillip Osborn Flinn | Radiology | 1325 Eastmoreland Ave Ste 545, Memphis, TN 38104-7510 | 2013-05-09 |
| 1952656316 | William Eugene Long | Radiology | 155 Trezevant View Pl, Memphis, TN 38111-4759 | 2012-07-20 |
| 1720377583 | Adeel Siddiqui | Radiology | 848 Adams Ave Ground Fl, Memphis, TN 38103 | 2011-04-01 |
| 1497055081 | Stephen Lane Gammill Sr. | Radiology | 2935 Iroquois Rd, Memphis, TN 38111-2615 | 2010-10-28 |
| Find all providers in MEMPHIS | ||||
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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.