GRACE D. MOORE


Address: 2307 Greene Way, Louisville, KY 40220-4009
Phone: 5028979594

GRACE D. MOORE (NPI# 1790762508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790762508
Entity Type Individual
Full Name GRACE D. MOORE
Credential M.D.
Practice Address 2307 Greene Way
Louisville
KY 40220-4009
Mailing Address Po Box 950251
Louisville
KY 40295-0251
Practice Telephone 5028979594
Practice Fax Number 5027364456
Mailing Telephone 5028979594
Mailing Fax Number 5027364456
Enumeration Date 2005-12-22
Last Update Date 2009-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZC0500X Pathology
Specialization: Cytopathology
37065 KY Allopathic & Osteopathic Physicians
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
37065 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICAID 200445300 01
KY 64-074552 05

Other Providers GRACE MOORE

NPI Name Taxonomy Address Enumeration
1528586724 Grace Moore Speech-Language Pathologist 115 Josephs Dr, Saugerties, NY 12477-4755 2017-09-07
1235747171 Grace Elizabeth Moore Dentist 1610 W Fullerton Ave, Chicago, IL 60614-2659 2020-07-16
1205453313 Grace Moore Behavior Technician 6050 Erin Park Dr, Colorado Springs, CO 80918-3488 2020-07-06
1003478611 Grace Moore Dentist 4000 E Campus Loop S, Lincoln, NE 68583-1530 2019-07-03
1851826531 Grace Moore Social Worker 160 Beechwood Ave, Pawtucket, RI 02860-5402 2017-05-01
1356758635 Grace Moore Nurse Practitioner 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 2014-07-17

Office Location

Street Address 2307 GREENE WAY
City LOUISVILLE
State KY
Zip Code 40220-4009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881697464 Clinical Associates Inc Clinical Medical Laboratory 2307 Greene Way, Louisville, KY 40220-4009 2005-05-27
1427478882 Joseph Frank Annunziata Pathology 2307 Greene Way, Louisville, KY 40220-4009 2014-04-23
1417375957 Charles Myers Pathology 2307 Greene Way, Louisville, KY 40220-4009 2014-04-02
1356651574 Cpa Lab Clinic Associates Inc Clinical Medical Laboratory 2307 Greene Way, Louisville, KY 40220 2010-10-21
1831357797 Clinical Associates Inc Pathology 2307 Greene Way, Louisville, KY 40220-4009 2008-05-28
1700841152 Elpidio Dejesus Pena Pathology 2307 Greene Way, Louisville, KY 40220-4009 2006-04-19
1124005814 Alvin W. Martin Pathology 2307 Greene Way, Louisville, KY 40220-4009 2005-12-23
1831192210 Emma Coronel Pathology 2307 Greene Way, Louisville, KY 40220-4009 2005-05-31
1821091273 Michael Nowacki Pathology 2307 Greene Way, Louisville, KY 40220-4009 2005-05-31
1093718447 Rebecca Lyn Christensen Pathology 2307 Greene Way, Louisville, KY 40220-4009 2005-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811502560 Louis James Walker IIi Physical Therapist 8904 Elks Bluff Drive, Unit 02206, Apt 206, Louisville, KY 40220 2020-09-10
1396207148 Kristan Shay Swindler Specialist/Technologist, Other 3008 Furman Blvd., Louisville, KY 40220 2019-04-02
1033686191 Reine Medical Supply LLC Durable Medical Equipment & Medical Supplies 3405 Breckenridge Lane, Louisville, KY 40220 2018-10-26
1053828145 Angelique Marie Leist Registered Nurse 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 2018-01-10
1811413925 Virginia Zimlich Physical Therapist 2807 Alice Ave, Louisville, KY 40220 2017-08-21
1255860649 Susan Marie Elder Registered Nurse 2816 Esther Blvd, Louisville, KY 40220 2017-06-08
1215300611 Katie Kipfer Day Training/Habilitation Specialist 3902 Graf Drive, Louisville, KY 40220 2015-11-06
1639547987 Meghan Hillerich Home Health 13 Canterbury Drive, Louisville, KY 40220 2015-09-03
1376921098 Dental Services of Kentucky, Psc Dentist 3946 Taylorsville Rd., Louisville, KY 40220 2015-05-14
1093103574 Joann Bartolone Murphy Developmental Therapist 3717 Taylorsville Rd., Louisville, KY 40220 2015-01-06
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265889372 Alfred Bennett Jenson Pathology 2307 River Road, Suite 101, Louisville, KY 40206-5000 2016-05-18
1104104801 Lawrence Harold Boram Pathology 1918 Charbdin Pl, Louisville, KY 40207-1678 2011-07-28
1639482748 Lauren Lippincott Pathology 10511 La Grange Rd, Louisville, KY 40223-1277 2010-07-17
1487798666 Nadiya Babar Shafi Pathology 7415 Steeplecrest Cir, Apt 100, Louisville, KY 40222-9084 2007-02-19
1508904996 Robin Kimberly Johnson Pathology 1603 Norris Pl, Louisville, KY 40205-1227 2007-02-01
1598863805 James H Meyers Pathology 4500 Conaem Dr, Louisville, KY 40213-1961 2006-09-20
1053344606 Robert A Zaring Pathology 4000 Kresge Way Ste P1503, Louisville, KY 40207 2006-07-08
1023095833 William Byron Lockwood Pathology 530 S. Jackson St, Louisville, KY 40202 2005-12-22
1245233626 Alexandra Gerassimides Pathology 231 E Chestnut St, Pathology Dept, Louisville, KY 40202-1821 2005-05-31
1730731902 Ali Ismail Pathology 550 S Jackson St # A1e17, Louisville, KY 40202-1622 2019-07-09
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40220

Improve Information

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Dataset Information

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.

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