JAMES H MOAK (NPI# 1801969100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801969100 |
| Entity Type | Individual |
| Full Name | JAMES H MOAK |
| Credential | MD |
| Practice Address |
Lee St Fl 1 Charlottesville VA 22909-0001 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349248485 |
| Practice Fax Number | 4349249295 |
| Mailing Telephone | 4342951000 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2009-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101245171 | VA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 35-082845 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1801969100 | 05 |
| Street Address |
LEE ST FL 1 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22909-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952302093 | Richard P. Shannon | Internal Medicine | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2005-08-10 |
| 1265868111 | Mark D. Golub | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2013-09-24 |
| 1477997963 | Lois W. Fulks | Nurse Practitioner | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2013-04-26 |
| 1780940379 | David A. Wilcocks | Emergency Medicine | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2012-04-09 |
| 1568788131 | Shapour Bahadori | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2010-04-08 |
| 1952630279 | Jennifer L. Weaver | Physician Assistant | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2009-12-15 |
| 1851528160 | Douglas R. Gallo | Emergency Medicine | Lee St Fl 1, Charlottesville, VA 22908-0816 | 2009-06-12 |
| 1023244100 | Young Shin Kim | Family Medicine | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2009-06-03 |
| 1700010923 | Alexandra K. Rozas | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2009-05-04 |
| 1780827303 | David M. Mauro | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2009-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285070136 | Bethany P Reutemann | Internal Medicine | 1215 Lee Street/ Endoscopy Unit, Charlottesville, VA 22909 | 2013-05-20 |
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629369715 | Adriana Goldberg | Emergency Medicine | 7 Valley Cir, B, Charlottesville, VA 22903-3241 | 2011-04-25 |
| 1649414798 | Peter Whitney-cashio | Emergency Medicine | 6300 La Calma Drive, Suite 200, Charlottesville, TX 78752 | 2009-04-20 |
| 1366587628 | Theresa A. Schlager | Emergency Medicine | Uva Hospital Emergency Dept, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 | 2007-02-21 |
| 1578606398 | Marcus L. Martin | Emergency Medicine | Emergency Dept Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 | 2007-02-14 |
| 1356963466 | Steven Garbin | Emergency Medicine | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-05-12 |
| 1033648787 | Avery Michienzi | Emergency Medicine | 1215 Lee St, Charlottesville, VA 22908-0816 | 2017-06-07 |
| 1386170405 | Brendan Reiser | Emergency Medicine | 1215 Lee St, Box 800699, Charlottesville, VA 22908-0816 | 2017-05-10 |
| 1750813390 | Jonathan Greer | Emergency Medicine | 1215 Lee St, Box 800699, Charlottesville, VA 22908-0816 | 2017-04-02 |
| 1063944106 | Daniel Rilett Hawkins | Emergency Medicine | 1215 Lee St, Box 800699, Charlottesville, VA 22908-0816 | 2017-03-29 |
| 1063944395 | Daniel Stanley | Emergency Medicine | 1215 Lee St, Box 800699, Charlottesville, VA 22908-0816 | 2017-03-27 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22909 |
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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.