DR. JAMES T MOORE (NPI# 1831181312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831181312 |
| Entity Type | Individual |
| Full Name | DR. JAMES T MOORE |
| Credential | M.D. |
| Practice Address |
1340 Ridgewood Ave Holly Hill FL 32117-2320 |
| Mailing Address |
Po Box 9671 Daytona Beach FL 32120-9671 |
| Practice Telephone | 3866767175 |
| Practice Fax Number | 3866767134 |
| Mailing Telephone | 3866767130 |
| Mailing Fax Number | 3866767125 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2015-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
ME0049696 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 044834600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835521 | James Leroy Moore | Emergency Medicine | 5010 Wood Shire Dr, Columbia, MO 65202-6654 | 2019-05-06 |
| 1518428499 | James Lawrence Moore Jr. | Nurse Practitioner | 1428 Sunflower Field Pl, Matthews, NC 28104-7623 | 2019-03-25 |
| 1013468503 | James Greg Moore | Physical Therapy Assistant | 3599 Chinaberry Ln, Sarasota, FL 34235-6640 | 2016-10-19 |
| 1952781924 | James Durning Moore Jr. | Dentist | 330 Billingsley Rd Ste 208, Charlotte, NC 28211-5020 | 2015-06-04 |
| 1093115594 | James Moore | Specialist/Technologist | 129 Cannon Trail Rd, Lexington, SC 29073-7976 | 2014-09-03 |
| 1033543061 | James Patrick Moore | Behavioral Analyst | 8670 Sw 212th St Apt 205, Cutler Bay, FL 33189-3353 | 2013-08-27 |
| 1528303880 | James Michael Moore | Acupuncturist | 63316 Us Highway 93, Ronan, MT 59864-2739 | 2012-11-27 |
| 1639453426 | James Edward Moore IIi | Specialist/Technologist | 4812 Overcrest Dr, Nashville, TN 37211-4709 | 2011-09-28 |
| 1073818837 | James Blaine Moore | Chiropractor | 372 Laduemont Dr, Saint Louis, MO 63141-8056 | 2011-01-25 |
| 1639304041 | James P Moore | Internal Medicine | 4500 Lower River Rd, Lewiston, NY 14092-1057 | 2009-05-29 |
| Street Address |
1340 RIDGEWOOD AVE |
| City | HOLLY HILL |
| State | FL |
| Zip Code | 32117-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102159 | Johnsie Carol Grigg | Emergency Medicine | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2005-05-23 |
| 1912419342 | Karen Michelle Berkeley | Social Worker | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2017-10-25 |
| 1316396492 | Jackie S Miller | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2016-06-08 |
| 1487008538 | Nikki Dungan | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2016-04-14 |
| 1568862852 | Jeremy Wright | Physician Assistant | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2014-08-25 |
| 1881015576 | Liem Phan | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2013-12-23 |
| 1013342617 | Terri Lynn Cimmerer | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2013-09-13 |
| 1205185154 | Kaila Lauren Letizia-wang | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2012-09-06 |
| 1669742474 | Mary Flynn Boener | Social Worker | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2012-01-10 |
| 1871879437 | Lisa Nowell | Counselor | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2011-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205290 | Slrc Miami Medical LLC | Psychiatry & Neurology | 601 Brickell Key Dr, Miami, FL 33131-2662 | 2020-11-03 |
| 1225674849 | Slrc Jacksonville LLC | Psychiatry & Neurology | 14286 Beach Blvd Ste 118, Jacksonville, FL 32250-1561 | 2019-11-19 |
| 1790248466 | Waves of Wellness | Psychiatry & Neurology | 10 Se Central Pkwy Ste 225, Stuart, FL 34994-5920 | 2019-04-10 |
| 1548753718 | Good Health Outcomes, Inc. | Psychiatry & Neurology | 1200 4th St Ste 308, Key West, FL 33040-3763 | 2018-06-12 |
| 1013374354 | New Horizons Mental Health LLC | Psychiatry & Neurology | 12130 Cortez Blvd, Brooksville, FL 34613-5575 | 2016-01-18 |
| 1174913958 | Lee County Associates In Psychiatry | Psychiatry & Neurology | 1303 Homestead Rd N Ste 103, Lehigh Acres, FL 33936-6049 | 2015-01-30 |
| 1558609156 | Milagros C. Pescador | Psychiatry & Neurology | 5208 Touraine Dr, Tallahassee, FL 32308-5934 | 2013-01-17 |
| 1992063002 | Marilyn Horvath Md Pa | Psychiatry & Neurology | 4317 Sw 186th Ave, Miramar, FL 33029-2772 | 2012-04-26 |
| 1295044873 | Kelly L Dunn Md Pa | Psychiatry & Neurology | 1696 W Hibiscus Blvd Ste A, Melbourne, FL 32901-2638 | 2010-09-30 |
| 1083928527 | Gerocare Consulting LLC | Psychiatry & Neurology | 17332 Garden Heath Ct, Land O Lakes, FL 34638-8089 | 2010-07-26 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY HILL |
| Zip Code | 32117 |
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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.