MR. ADAM JAMES MOORE (NPI# 1881660413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881660413 |
| Entity Type | Individual |
| Full Name | MR. ADAM JAMES MOORE |
| Credential | MHS, PA-C, ATC |
| Practice Address |
34th & Civic Center Boulevard Philadelphia PA 19104 |
| Mailing Address |
26 Hamilton Rd Marlton NJ 08053-1135 |
| Practice Telephone | 2155901527 |
| Practice Fax Number | 2155901501 |
| Mailing Telephone | 6094105117 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2016-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00090500 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | 25MP00237400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | MA054320 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1841588761 | Adam Lawrence Moore | Speech-Language Pathologist | 11640 Court of Palms Apt 304, Fort Myers, FL 33908-6553 | 2011-07-12 |
| 1194023820 | Adam Rhett Moore | Pharmacist | 2704 N Oak St Bldg B1, Valdosta, GA 31602 | 2011-03-03 |
| 1952417537 | Adam M Moore | Physical Therapist | 276 Nissan Parkway, Suite 400, Bldg. F, Canton, MS 39046-7006 | 2006-08-23 |
| 1720512023 | Adam Moore | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Suite Msb 5.196, Houston, TX 77030-1501 | 2017-04-13 |
| 1467805150 | Adam M Moore | Marriage & Family Therapist | 3020 Childrens Way # Mc5100, San Diego, CA 92123-4223 | 2016-07-18 |
| 1083072755 | Adam Moore | Physical Therapist | 4520 Executive Dr, Suite 101, San Diego, CA 92121-3018 | 2016-02-09 |
| 1811281678 | Adam Moore | Marriage & Family Therapist | 393 E Riverside Dr, Suite 3a, St George, UT 84790-6995 | 2011-06-08 |
| 1528382728 | Adam Wayne Moore | Specialist/Technologist | 5949 W Raymond St, Indianapolis, IN 46241-4348 | 2010-03-17 |
| 1033311337 | Adam C Moore | Dentist | 607 Benson Rd, Garner, NC 27529-3988 | 2007-05-31 |
| Street Address |
34TH & CIVIC CENTER BOULEVARD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588092001 | Mary Schmitt | Nurse Practitioner | 34th & Civic Center Boulevard, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2013-10-18 |
| 1558620203 | Amanda Jones | Nurse Practitioner | 34th & Civic Center Boulevard, Children's Hospital of Philadelphia, Cardiac Center, Philadelphia, PA 19104 | 2012-05-15 |
| 1922387331 | Oranee Sanmaneechai | Psychiatry & Neurology | 34th & Civic Center Boulevard, Chop-department of Neurology, Philadelphia, PA 19104 | 2011-08-16 |
| 1407179674 | Miriam Tamar Stewart | Pediatrics | 34th & Civic Center Boulevard, 9nw55, Main Hospital, Philadelphia, PA 19104 | 2010-03-02 |
| 1306004577 | Matthew Scott Kelly | Pediatrics | 34th & Civic Center Boulevard, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1174122493 | Juliana Debnam | Physician Assistant | 235 S 15th St Apt 904, Philadelphia, PA 19102-5031 | 2020-10-19 |
| 1457950867 | Kyllington Spotts | Physician Assistant | 1151 N 3rd St Unit 301, Philadelphia, PA 19123-1578 | 2020-10-19 |
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1457977944 | Jiyean Yoo | Physician Assistant | 2929 Walnut St Apt 4424, Philadelphia, PA 19104-5096 | 2020-06-19 |
| 1356987747 | Jennifer Rose Cueni | Physician Assistant | 2120 Brandywine St, Philadelphia, PA 19130-3107 | 2019-11-21 |
| 1730740408 | Olivia Anne Leventry | Physician Assistant | 109 Fairmount Ave, Philadelphia, PA 19123-3004 | 2019-06-24 |
| 1588136055 | Jefferson University Physcians | Physician Assistant | 1020 Sansom St Fl 10, Philadelphia, PA 19107-5002 | 2018-12-21 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922589365 | Rachel Diane Simonsen | Physician Assistant | 1741 Frankford Ave Ste 100a, Philadelphia, PA 19125-2445 | 2018-08-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on MR. ADAM JAMES MOORE.
| 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.