MR. RODERICK GARDNER MOORE II (NPI# 1851314009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851314009 |
| Entity Type | Individual |
| Full Name | MR. RODERICK GARDNER MOORE II |
| Credential | ATC LAT |
| Practice Address |
1009 Union Street Valparaiso IN 46383-6493 |
| Practice Telephone | 2194645236 |
| Practice Fax Number | 2194646897 |
| Mailing Telephone | 2194645236 |
| Mailing Fax Number | 2194646897 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36000263A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063712412 | Roderick Scott Moore | Pharmacist | 680 W Washington St Bldg F, Sequim, WA 98382-3264 | 2010-11-01 |
| 1891836748 | Roderick C. Moore | Registered Nurse | 801 Green Valley Rd, Greensboro, NC 27408-7021 | 2007-02-12 |
| 1104978238 | Roderick Alan Moore | Podiatrist | 17000 140th Ave Ne, Unit 201, Woodinville, WA 98072-6928 | 2007-01-17 |
| Street Address |
1009 UNION STREET |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-6493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184138638 | Anne Elizabeth Rastovski | Specialist/Technologist | 1454 Cedar Creek Ct, Valparaiso, IN 46385-6152 | 2017-11-20 |
| 1174070031 | Hannah Duszynski | Specialist/Technologist | 61 Niles Dr, Valparaiso, IN 46383-9544 | 2016-09-07 |
| 1942667910 | Deborah Joy Key | Specialist/Technologist | 552 Sheffield Dr, Valparaiso, IN 46385-2947 | 2016-01-21 |
| 1427442193 | Alexis Renai Cleveland | Specialist/Technologist | 2900 Kickbush Dr, Valparaiso, IN 46385-7104 | 2015-03-20 |
| 1841698701 | Colin Gallagher | Specialist/Technologist | 345 W 100 N, Valparaiso, IN 46385-7731 | 2014-12-09 |
| 1891192548 | Heather Sue Talley | Specialist/Technologist | 624 W 300 N, Valparaiso, IN 46385-9203 | 2014-11-24 |
| 1710393483 | Annette Marie Gonzalez | Specialist/Technologist | 512 Sturdy Rd, Apt 102, Valparaiso, IN 46383-5255 | 2014-07-02 |
| 1194881771 | Kimberly C Stento | Specialist/Technologist | 1405 Monticello Park Dr, Valparaiso, IN 46383-4023 | 2006-12-28 |
| 1093779761 | Nathan Twedt | Specialist/Technologist | 1009 Union St, Valparaiso, IN 46383-4529 | 2006-04-12 |
| 1750780334 | Rebekah Reichard | Specialist/Technologist | 1009 Union St, Valparaiso, IN 46383-4529 | 2014-08-19 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on MR. RODERICK GARDNER MOORE II.
| 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.