MR. ROBERT WILLIAM MOORE (NPI# 1710042882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710042882 |
| Entity Type | Individual |
| Full Name | MR. ROBERT WILLIAM MOORE |
| Credential | M.D. |
| Practice Address |
18 Feathers Dr Plattsburgh NY 12901-6461 |
| Mailing Address |
18 Feathers Drive Plattsburgh NY 12901-1874 |
| Practice Telephone | 5183242040 |
| Practice Fax Number | 5183242041 |
| Mailing Telephone | 5183242040 |
| Mailing Fax Number | 5183242041 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2017-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 224246-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02743295 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868294 | Robert John Moore | Social Worker | 1633 Fairmount Ave, Philadelphia, PA 19130-2352 | 2019-06-02 |
| 1124683685 | Robert Hart Moore | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency 980118, 1250 E. Marshal Street, Richmond, VA 23298-0118 | 2019-05-09 |
| 1205354511 | Robert Lee Moore | Student in an Organized Health Care Education/Training Program | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-07 |
| 1083091201 | Robert Moore | Specialist/Technologist | 11600 Mary Catherine Dr, Clinton, MD 20735-1040 | 2015-04-27 |
| 1497150015 | Robert Moore | Audiologist | Dept of Speech Pathology and Audiology, Hahn 1119, University of South Alabama, Mobile, AL 36688-0001 | 2014-10-24 |
| 1780020388 | Robert R Moore | Counselor | 88 Beckwith Dr, Galesburg, MI 49053-9604 | 2013-05-22 |
| 1114262581 | Robert Daniel Moore | Hearing Instrument Specialist | 1911 S Main Street, Corbin, KY 40701 | 2012-12-11 |
| 1487918413 | Robert Wallace Moore Jr. | Orthopaedic Surgery | 4563 Landfall Ct, Destin, FL 32541-5313 | 2012-06-25 |
| 1972804102 | Robert Stephen Moore | Pharmacist | 671 Rancho Santa Fe Road, San Marcos, CA 92078-3973 | 2010-11-04 |
| 1942539978 | Robert Andrew Moore | Family Medicine | 11848 Goshen Ave, 301, Los Angeles, CA 90049-6336 | 2009-12-22 |
| Street Address |
18 FEATHERS DR |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-6461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690078 | Lauren Bintz | Dietitian, Registered | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2020-05-08 |
| 1285992479 | Philip Matthew Magcalas | Pediatrics | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2012-04-25 |
| 1114210788 | Erin Laura Spees | Pediatrics | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2011-05-16 |
| 1598908188 | Ceila M. Dominguez Del Villar | Pediatrics | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2009-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164636445 | Sudha S Patel | Pediatrics | 4 Pinewood Drive, Plattsburgh, NY 12901 | 2007-05-09 |
| 1053408559 | Harold H Chaskey Jr. | Pediatrics | 151 Bridge Street, Plattsburgh, NY 12901 | 2006-10-06 |
| 1316365489 | Sara Anne Mednansky | Pediatrics | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2014-04-04 |
| 1255772729 | Primary Care Health Partners-adirondack LLC | Pediatrics | 159 Margaret St, Suite 103, Plattsburgh, NY 12901-1874 | 2013-07-12 |
| 1407296908 | Jana Lichtenfeld | Pediatrics | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2013-06-28 |
| 1285992479 | Philip Matthew Magcalas | Pediatrics | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2012-04-25 |
| 1114210788 | Erin Laura Spees | Pediatrics | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2011-05-16 |
| 1598908188 | Ceila M. Dominguez Del Villar | Pediatrics | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2009-04-12 |
| 1306997119 | Deirdre Ruth Schaefer | Pediatrics | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1874 | 2007-01-16 |
| 1902955149 | Stephanie Polk Moore | Pediatrics | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1874 | 2007-01-09 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
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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.