MR. SHAWN CHRISTOPHER MOORE


Address: 655th 7th Street, Robins Afb, GA 31098
Phone: 4783278126

MR. SHAWN CHRISTOPHER MOORE (NPI# 1811128754) 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) 1811128754
Entity Type Individual
Full Name MR. SHAWN CHRISTOPHER MOORE
Credential IDMT
Practice Address 655th 7th Street
Robins Afb
GA 31098
Mailing Address 128 Sinton Pl
Warner Robins
GA 31098-1045
Practice Telephone 4783278126
Mailing Telephone 4782854443
Enumeration Date 2009-07-27
Last Update Date 2009-07-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Other Providers SHAWN MOORE

NPI Name Taxonomy Address Enumeration
1750800058 Shawn Anthony Moore Emergency Medical Technician, Intermediate 900 N Hairston Rd Ste A3, Stone Mountain, GA 30083-2857 2017-09-18
1508264912 Shawn Paul Moore Home Health Aide 868 E 95th St, Cleveland, OH 44108-2134 2014-12-17
1720152127 Shawn D Moore Chiropractor 2520 Avenue K, #700-772, Plano, TX 75074-5342 2006-11-17
1255345039 Shawn Lee Moore Dentist 4544 Taylorsville Rd, Louisville, KY 40220-3528 2006-07-28
1700414802 Shawn David Moore Student in an Organized Health Care Education/Training Program 25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526 2020-04-01
1306498191 Shawn Taylor Moore Massage Therapist 1720 Dutch Fork Rd Ste D, Irmo, SC 29063-8871 2019-07-11
1396205605 Shawn E Moore Student in an Organized Health Care Education/Training Program 601 E Rollins St, Orlando, FL 32803-1248 2019-03-22
1316444151 Shawn Donald Moore Student in an Organized Health Care Education/Training Program 1 Baylor Plz # Ms 390, Houston, TX 77030-3411 2018-04-09
1861920977 Shawn Thomas Moore Family Medicine 7375 W Us 52, New Palestine, IN 46163-8950 2017-06-02
1912350158 Shawn Moore Physical Therapist 35 Bel Aire Dr, Newport, VT 05855-4953 2016-07-22

Office Location

Street Address 655TH 7TH STREET
City ROBINS AFB
State GA
Zip Code 31098

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043679426 Lori Demello Behavioral Analyst 477 Holly Drive, Warner Robins, GA 31098 2016-02-15
1760885057 John A Kauderman Jr. Optometrist 655 South 7th St Bldg 700/700a, Robins Afb, GA 31098 2014-10-01
1255757183 Damon Jamel Murphy Psychologist 655 South 7th St Bldg 700, 78 Mdg/sgpo, Robins Afb, GA 31098 2014-03-17
1548697485 John Dye Jr. Military Health Care Provider 655 Seventh St., Robins Afb, GA 31098 2013-10-10
1881028009 Michael Adam Lang General Practice Building 700a, Robins Afb, GA 31098 2013-08-23
1902243876 Victor D Parker IIi Military Health Care Provider 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 2013-05-31
1851646830 David Alan Lunsford Jr. Physical Therapist 655 South 7th St Bldg 700/700-a, 78 Mdg/sgoy, Robins Afb, GA 31098 2012-07-17
1972880979 Leighcraft A Shakes Pharmacist 655 7th St Bldg 700a7878, Robins Afb, GA 31098 2011-11-04
1154625101 Carolina Anna Perez Counselor 655 Seventh Street, Robins Afb, Warner Robines, GA 31098 2011-01-05
1649414897 Kirsten Charel Guy Military Health Care Provider 665 Seventh St., Robins Afb, GA 31098 2009-04-30
Find all providers in zip 31098

Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548697485 John Dye Jr. Military Health Care Provider 655 Seventh St., Robins Afb, GA 31098 2013-10-10
1649414897 Kirsten Charel Guy Military Health Care Provider 665 Seventh St., Robins Afb, GA 31098 2009-04-30
1336472307 Robert Wilson IIi Military Health Care Provider 655 7th St, Robins Afb, GA 31098-2227 2009-09-09
1558505941 Natasha Latryce Walker Military Health Care Provider 655 7th St, Robins Afb, GA 31098-2227 2009-04-29
1326282815 John W Cleaves Military Health Care Provider 655 7th St, Robins Afb, GA 31098-2227 2009-04-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003459942 Summer Ann Felix Military Health Care Provider 4260 Nelson Hill Pl, Hahira, GA 31632-3264 2019-10-23
1811397243 Kristy Luna Military Health Care Provider 2331 Downing Ave, Savannah, GA 31404-3953 2014-09-04
1952701641 Alan Vega Military Health Care Provider 3715 N Valdosta Rd Apt 82, Valdosta, GA 31602 2014-08-29
1306189576 Rebecca Lynne Lozano Military Health Care Provider 620 Randolph Ave, Warner Robins, GA 31098-1162 2013-04-05
1205110368 Brian Russell Balcolm Military Health Care Provider 4099 Forrest Run Cir, Valdosta, GA 31605-6538 2011-10-06
1689957862 Monique Nicole Toth Military Health Care Provider 3748 Robin Ln, Valdosta, GA 31605-5102 2011-09-23
1316230527 Tamara Alisha Ivy Military Health Care Provider 138 Washington Ave, Waynesboro, GA 30830-8421 2011-05-20
1114221439 Stephanie Denise Sulewski Military Health Care Provider 1063 Uss Tennessee Ave, Avenue Ql 11, Kings Bay, GA 31547-2606 2010-12-29
1194033365 Jessica Marie Barker Military Health Care Provider 317 Simms Rd, Carrollton, GA 30117-5611 2010-09-21
1346552783 Bruchell Denise Washington Military Health Care Provider 4224 Wilshire Dr, Valdosta, GA 31605-7020 2010-07-13
Find all providers with the same taxonomy

Competitor

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City ROBINS AFB
Zip Code 31098

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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