MR. MATTHEW HENRY MOORE (NPI# 1700053394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700053394 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW HENRY MOORE |
| Credential | PA-C |
| Practice Address |
111 S Treaty Rd Miami OK 74354 |
| Mailing Address |
111 S Treaty Rd Miami OK 74354-5327 |
| Practice Telephone | 9185401511 |
| Practice Fax Number | 9185427374 |
| Mailing Telephone | 9185401511 |
| Mailing Fax Number | 9185427374 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1732 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100736700O | 05 | |
| OK | 200207110A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 W Central Ave, Miami, OK 743546815 | 9185423900 | 9185423928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285173138 | Matthew Moore | Specialist/Technologist | 287 Rivers St, Boone, NC 28608-0001 | 2017-02-13 |
| 1649440959 | Matthew D. Moore | Radiology | Uva Children's Hospital @ The Battle Bldg, Charlottesville, VA 22908-4617 | 2008-03-04 |
| 1437105640 | Matthew Gresser Moore | Family Medicine | 12369 E Michigan Ave, Grass Lake, MI 49240-9213 | 2006-05-26 |
| 1861489056 | Matthew R. Moore | Neurological Surgery | 1930 Ne 47th St, Suite 200, Fort Lauderdale, FL 33308-7718 | 2005-10-03 |
| 1932727708 | Matthew Moore | Student in an Organized Health Care Education/Training Program | 234 E 85th St, New York, NY 10028-3001 | 2020-07-08 |
| 1558829234 | Matthew Moore | Case Manager/Care Coordinator | 100 E 33rd St Ste 201b, Vancouver, WA 98663-2776 | 2019-03-12 |
| 1205358801 | Matthew Stephen Moore | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-07-14 |
| 1568990224 | Matthew Thomas Moore | Registered Nurse | 200 University Rdg, Greenville, SC 29601-3635 | 2017-05-25 |
| 1588191977 | Matthew Brian Moore | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2017-05-16 |
| 1912351123 | Matthew Moore | Anesthesiology | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2016-04-14 |
| Street Address |
111 S TREATY RD |
| City | MIAMI |
| State | OK |
| Zip Code | 74354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333819 | Julie D Finney | Physician Assistant | 111 S Treaty Rd, Miami, OK 74354-5327 | 2005-08-19 |
| 1194336156 | Presley Ashtin Goff | Social Worker | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-08-13 |
| 1649898529 | Caressa Russell | Social Worker | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-07-08 |
| 1043838899 | Brandon Allan Maples | Peer Specialist | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-07-08 |
| 1942823190 | Zaine Alexander Gibson | Behavioral Analyst | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-05-22 |
| 1215558127 | Sydnee Marie Vance | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-05-01 |
| 1558981217 | Michael Shane Allen | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-04-23 |
| 1093335754 | Jonathan Kyle Shinn | Counselor | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-04-23 |
| 1972139475 | Lila Renee Metzker | Counselor | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-03-16 |
| 1518591254 | Amanda Wren | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786603 | Coal Creek Counseling, LLC | Social Worker | 204 D St Ne, Miami, OK 74354 | 2017-05-10 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1548641285 | Courtney Marie Winfrey | Occupational Therapy Assistant | 310 2nd Ave Sw Fl 3, Miami, OK 74354 | 2015-06-17 |
| 1417338039 | Michelle Dawn Johnson | Case Manager/Care Coordinator | 1519 E. Steve Owens Blvd, Miami, OK 74354 | 2015-06-10 |
| 1790100337 | Jordan Taylor-threet | Speech-Language Pathologist | 2225 N. Main St., Miami, OK 74354 | 2014-02-19 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1144507534 | Julia Brown | Pharmacist | 11 West Central, Miami, OK 74354 | 2011-11-14 |
| 1841504685 | Dodie A Giles Keith | Counselor | 33 C Street Northeast, Miami, OK 74354 | 2010-08-04 |
| 1013221571 | Katherine Renee Burke | Counselor | 111 S. Treaty Rd., Miami, OK 74354 | 2010-07-27 |
| Find all providers in zip 74354 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1043820889 | Dave Norman Caldera Jr. | Physician Assistant | 5440 Sw 150th Ct, Miami, FL 33185-4012 | 2020-08-06 |
| 1003432063 | Nicole Marlene Socarras | Physician Assistant | 8585 Sunset Dr Ste 108, Miami, FL 33143-3746 | 2020-06-24 |
| 1245854504 | Laurent Augustin | Physician Assistant | 15608 Sw 112th Dr, Miami, FL 33196-4391 | 2020-06-02 |
| 1780213363 | Amanda C. Fisher | Physician Assistant | 175 Sw 7th St Ste 24082409, Miami, FL 33130-2992 | 2020-04-06 |
| 1184258279 | Ryan Walker | Physician Assistant | 175 Sw 7th St Ste 1100, Miami, FL 33130-2951 | 2020-02-27 |
| 1033749015 | Christy Anne Perez | Physician Assistant | 41 Se 5th St Apt 2215, Miami, FL 33131-2550 | 2020-01-18 |
| 1689204729 | Nathali Eiranova | Physician Assistant | 14735 Sw 36th Ter, Miami, FL 33185-3913 | 2020-01-16 |
| 1649810623 | Jeanine Marie Cuervo | Physician Assistant | 15543 Sw 55th Ter, Miami, FL 33185-4176 | 2020-01-08 |
| 1649814930 | Danette Blanco | Physician Assistant | 3930 Nw 2nd St, Miami, FL 33126-5712 | 2019-10-30 |
| Find all providers in MIAMI | ||||
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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.