PORTIA MOORE (NPI# 1780842112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780842112 |
| Entity Type | Individual |
| Full Name | PORTIA MOORE |
| Credential | MD |
| Practice Address |
404 River Pointe Dr Ste. 100 Conroe TX 77304-2836 |
| Mailing Address |
Po Box 841969 Dallas TX 75284-1969 |
| Practice Telephone | 9367568108 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2014-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | M8192 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854107 | Portia Moore | Case Manager/Care Coordinator | 460 Briarwood Dr, Suite 510, Jackson, MS 39206-3051 | 2017-04-06 |
| Street Address |
404 RIVER POINTE DR STE. 100 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453969 | Marjorie Quarles | Pediatrics | 404 River Pointe Dr, 100, Conroe, TX 77304-2836 | 2005-08-09 |
| 1104261031 | Lesley Gardiner | Pediatrics | 404 River Pointe Dr, Suite 100, Conroe, TX 77304-2836 | 2013-05-06 |
| 1003059932 | Melissa Elaine Prihoda | Pediatrics | 404 River Pointe Dr, Suite 100, Conroe, TX 77304-2836 | 2009-04-07 |
| 1568627495 | Katherine Smith Taxis | Pediatrics | 404 River Pointe Dr, Suite 100, Conroe, TX 77304-2836 | 2008-07-21 |
| 1578603205 | Amy Christian | Nurse Practitioner | 404 River Pointe Dr, 100, Conroe, TX 77304-2836 | 2007-02-08 |
| 1760582910 | Tch Pediatric Associates, Inc | Pediatrics | 404 River Pointe Dr, Suite 100, Conroe, TX 77304-2836 | 2006-09-25 |
| 1396702940 | Jennifer R. Pulliam | Pediatrics | 404 River Pointe Dr, Suite 100, Conroe, TX 77304-2836 | 2006-04-27 |
| 1023010451 | Richard Calvin | Pediatrics | 404 River Pointe Dr, 100, Conroe, TX 77304-2836 | 2005-08-15 |
| 1174525711 | Charles Mcpherson | Pediatrics | 404 River Pointe Dr, 100, Conroe, TX 77304-2836 | 2005-08-12 |
| 1720089980 | Kellie Williams | Pediatrics | 404 River Pointe Dr, 100, Conroe, TX 77304-2836 | 2005-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| 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 |
|---|---|---|---|---|
| 1740644251 | Bee & Bee Pediatrics | Pediatrics | 10393 League Line Rd, Conroe, TX 77304-1028 | 2016-04-11 |
| 1174893929 | George Daniel Pope | Pediatrics | 11815 White Oak Trl, Conroe, TX 77385-2735 | 2012-01-11 |
| 1609104785 | Ayotunde Gregory Faweya | Pediatrics | 15210 I-45 South, Suite 110, Conroe, TX 77384-4105 | 2009-11-30 |
| 1306922182 | Trecia L Elahee White | Pediatrics | 3115 College Park Dr Ste 104, Conroe, TX 77384-4001 | 2006-10-27 |
| 1043224132 | Michael Ebhota Okogbo | Pediatrics | 15210 I-45 S, Suite 110, Conroe, TX 77384-4105 | 2006-07-27 |
| 1467453969 | Marjorie Quarles | Pediatrics | 404 River Pointe Dr, 100, Conroe, TX 77304-2836 | 2005-08-09 |
| 1932686714 | Tina Marie Lynch | Pediatrics | 602 W Semands St, Conroe, TX 77301-1867 | 2018-07-24 |
| 1669928883 | Northside Pediatrics Associates, Pa | Pediatrics | 15210 I-45 South, Suite 110, Conroe, TX 77384-4105 | 2016-08-28 |
| 1063876340 | Roca Medical Center | Pediatrics | 10393 League Line Rd, Conroe, TX 77304-1028 | 2016-04-12 |
| 1104261031 | Lesley Gardiner | Pediatrics | 404 River Pointe Dr, Suite 100, Conroe, TX 77304-2836 | 2013-05-06 |
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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.