JAMES LAYNE MOORE (NPI# 1730264037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730264037 |
| Entity Type | Individual |
| Full Name | JAMES LAYNE MOORE |
| Credential | MD |
| Practice Address |
300 State Ave Faribault MN 55021-6319 |
| Mailing Address |
30 E Apple St Suite 5254 Dayton OH 45409-2939 |
| Practice Telephone | 5073333300 |
| Practice Fax Number | 5073333387 |
| Mailing Telephone | 9372084200 |
| Mailing Fax Number | 9372084205 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35068 | MN | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35057677 | OH | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
35057677 | OH | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
35057677 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0764605 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 | |
| 30 E Apple St, Suite 5254, Dayton, OH 454092939 | 9372084200 | 9372084205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835521 | James Leroy Moore | Emergency Medicine | 5010 Wood Shire Dr, Columbia, MO 65202-6654 | 2019-05-06 |
| 1518428499 | James Lawrence Moore Jr. | Nurse Practitioner | 1428 Sunflower Field Pl, Matthews, NC 28104-7623 | 2019-03-25 |
| 1013468503 | James Greg Moore | Physical Therapy Assistant | 3599 Chinaberry Ln, Sarasota, FL 34235-6640 | 2016-10-19 |
| 1952781924 | James Durning Moore Jr. | Dentist | 330 Billingsley Rd Ste 208, Charlotte, NC 28211-5020 | 2015-06-04 |
| 1093115594 | James Moore | Specialist/Technologist | 129 Cannon Trail Rd, Lexington, SC 29073-7976 | 2014-09-03 |
| 1033543061 | James Patrick Moore | Behavioral Analyst | 8670 Sw 212th St Apt 205, Cutler Bay, FL 33189-3353 | 2013-08-27 |
| 1528303880 | James Michael Moore | Acupuncturist | 63316 Us Highway 93, Ronan, MT 59864-2739 | 2012-11-27 |
| 1639453426 | James Edward Moore IIi | Specialist/Technologist | 4812 Overcrest Dr, Nashville, TN 37211-4709 | 2011-09-28 |
| 1073818837 | James Blaine Moore | Chiropractor | 372 Laduemont Dr, Saint Louis, MO 63141-8056 | 2011-01-25 |
| 1639304041 | James P Moore | Internal Medicine | 4500 Lower River Rd, Lewiston, NY 14092-1057 | 2009-05-29 |
| Street Address |
300 STATE AVE |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-6319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071675 | Alex Sneiders | Specialist | 300 State Ave, Faribault, MN 55021-6319 | 2005-05-23 |
| 1215540810 | Bauj S Yang | Nurse Practitioner | 300 State Ave, Faribault, MN 55021-6319 | 2020-08-25 |
| 1013541408 | Kris Lee Dutton | Specialist/Technologist | 300 State Ave, Faribault, MN 55021-6319 | 2020-02-25 |
| 1073040838 | Mayo Clinic Health System-southeast Minnesota Region | Durable Medical Equipment & Medical Supplies | 300 State Ave, Faribault, MN 55021-6319 | 2017-05-11 |
| 1457779563 | Brian Igoni Wariboko | Family Medicine | 300 State Ave, Faribault, MN 55021-6319 | 2014-04-04 |
| 1003077223 | Jason Allen Lee | Physical Medicine & Rehabilitation | 300 State Ave, Faribault, MN 55021-6319 | 2008-06-19 |
| 1508884917 | Shelly Joan Myrom | Nurse Practitioner | 300 State Ave, Faribault, MN 55021 | 2006-07-17 |
| 1649204645 | Judy Lynn Fruehbrodt-glenzinski | Family Medicine | 300 State Ave, Faribault, MN 55021 | 2006-07-10 |
| 1134169246 | Jory M Burroughs | Obstetrics & Gynecology | 300 State Ave, Faribault, MN 55021-6319 | 2006-06-07 |
| 1164400057 | Travis L Roethler | Physician Assistant | 300 State Ave, Faribault, MN 55021-6319 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| 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 |
|---|---|---|---|---|
| 1851905251 | Nexus | Psychiatry & Neurology | 2121 Campus Dr Se, Rochester, MN 55904-4744 | 2020-09-02 |
| 1669995528 | Malik Ghannam | Psychiatry & Neurology | 701 15th Ave Se, Minneapolis, MN 55414-4047 | 2017-07-24 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1265790414 | Brian Michael Krasnow | Psychiatry & Neurology | 1746 Hillcrest Avenue, Saint Paul, MN 55116-2151 | 2012-04-25 |
| 1699079533 | Gilbert Westreich | Psychiatry & Neurology | 1779 Emerson Ave South, Minneapolis, MN 55403-2909 | 2011-01-07 |
| 1720233570 | West Central Neurology Pa | Psychiatry & Neurology | 11521 312th Ave, Princeton, MN 55371-3423 | 2008-11-20 |
| 1235388521 | Donald W Klass | Psychiatry & Neurology | 956 14th Ave Sw, Rochester, MN 55902-2078 | 2008-09-11 |
| 1598929267 | Frank Wilson Sharbrough IIi | Psychiatry & Neurology | 814 8th Ave Sw, Rochester, MN 55902-6308 | 2008-07-11 |
| 1881855187 | Kenneth James Shea IIi | Psychiatry & Neurology | 3540 17th Ave S, Saint Cloud, MN 56301-9664 | 2008-06-19 |
| 1275792293 | Ali Emami | Psychiatry & Neurology | 310 Smith Ave N Ste 440, Saint Paul, MN 55102-2316 | 2008-06-05 |
| 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.