MICHAEL T MOORE (NPI# 1750858916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750858916 |
| Entity Type | Individual |
| Full Name | MICHAEL T MOORE |
| Credential | PA |
| Practice Address |
80 Seymour Street Hartford Hospital Medicine Dept Hartford CT 06102-5037 |
| Practice Telephone | 8609722085 |
| Mailing Telephone | 8609722085 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004400 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
004400 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3913 W 22nd St, Greeley, CO 806343916 | 9703716695 |
| 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 |
80 SEYMOUR STREET HARTFORD HOSPITAL MEDICINE DEPT |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102-5037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323426 | Rohini Ruth Becherl | Family Medicine | 80 Seymour Street, Hartford Hospital Geriatrics Program, Hartford, CT 06102-5037 | 2005-06-01 |
| 1588283584 | Dana Wells Mcpherson | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2020-04-10 |
| 1619523388 | Thomas John Basil | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-08-17 |
| 1275188161 | Sara E Hughes | Nurse Practitioner | 80 Seymour Street, Hartford Hosp Medicine Dept, Hartford, CT 06102-8000 | 2019-08-07 |
| 1790339166 | Jared C Walsh | Physician Assistant | 80 Seymour Street, Cvo Provider Enrollment, Hartford, CT 06102-8000 | 2019-07-24 |
| 1740848803 | Tara J Dempsey | Physician Assistant | 80 Seymour Street, Hartford Hospital Neurology Dept, Hartford, CT 06102-8000 | 2019-06-04 |
| 1790349488 | Mark J Sorel | Physician Assistant | 80 Seymour Street, Hartford Hospital Medicine Dept, Hartford, CT 06102-8000 | 2019-04-28 |
| 1528521408 | Kelly Nguyen | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-04-09 |
| 1821558461 | Alysse K Pazienza | Physician Assistant | 80 Seymour Street, Hartford Hosp Medicine Dept, Hartford, CT 06102-8000 | 2019-03-20 |
| 1760956569 | Kathryn Vignati | Physician Assistant | 80 Seymour Street, Department of Surgery, Hartford, CT 06102-5037 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
| 1942734058 | Giorgi Kveladze | Internal Medicine | 80 Seymour St. Hospitalist Devision, Hartford, CT 06102 | 2017-04-14 |
| 1902352248 | Safina Hafeez | Student in an Organized Health Care Education/Training Program | 80 Seymour Street Hartford Hospital, 3rd Floor Pathology, Hartford, CT 06102 | 2016-08-28 |
| 1154774990 | Neelam Khetpal | Internal Medicine | 80 Seymour St Bldg 502, Hartford, CT 06102 | 2016-07-17 |
| 1588073613 | Gene Pershwitz | Internal Medicine | 80 Seymour St Dept Jb704, Hartford, CT 06102 | 2014-08-02 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1548271141 | Pasquale F Finelli | Psychiatry & Neurology | 80 Seymour Street, Jb Suite 604, Hartford Hospital Neurology Dept., Hartford, CT 06102 | 2006-08-10 |
| 1265474340 | Gary Francis Nobert | Obstetrics & Gynecology | Hartford Hospital Ob Gyn Dept, 80 Seymour Street, Hartford, CT 06102 | 2006-06-12 |
| Find all providers in zip 06102 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275192049 | Molly J Mable | Physician Assistant | 282 Washington St Fl 1, Hartford, CT 06106-3322 | 2019-06-06 |
| 1952821431 | Andrew J Decusati | Physician Assistant | 100 Retreat Ave Ste 705, Hartford, CT 06106-2553 | 2017-06-26 |
| 1427466150 | Katherine Salvador | Physician Assistant | 14 Weston St, Hartford, CT 06120-1504 | 2014-07-25 |
| 1336130459 | Michael Peter Terp | Physician Assistant | 1000 Asylum Ave Ste 2109a, Saint Francis Emergency Medical Group Inc, Hartford, CT 06105-1719 | 2005-10-31 |
| 1043834856 | Carly Lavallee | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3315 | 2020-06-08 |
| 1316561251 | Amelia Kay Schuler | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3300 | 2020-06-06 |
| 1962026229 | Rashadda E Wong | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3315 | 2020-06-02 |
| 1629691043 | Kara Martin | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-05-20 |
| 1336761626 | Allison Leigh Verity | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-05-11 |
| 1326677352 | Brittany Michelle Wozniak | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-04-02 |
| Find all providers in HARTFORD | ||||
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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.