THOMAS B. MOORE (NPI# 1891736815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891736815 |
| Entity Type | Individual |
| Full Name | THOMAS B. MOORE |
| Credential | M.D. |
| Practice Address |
3020 Saint Johns Blvd Ste A Joplin MO 64804-1564 |
| Practice Telephone | 4177815387 |
| Practice Fax Number | 4177817174 |
| Mailing Telephone | 4177815387 |
| Mailing Fax Number | 4177817174 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R3B12 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS OF KANSAS CITY | 21620038 | 01 |
| MO | 201669439 | 05 | |
| KS | 100164600E | 05 | |
| KS | BLUE CROSS OF KANSAS | 1891736815 | 01 |
| MO | RAIL ROAD MEDICARE | P00800228 | 01 |
| KS | 100164600F | 05 | |
| KS | RAIL ROAD MEDICARE | P00800249 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700410081 | Thomas Earl Moore | Nurse Practitioner | 5575 Dana Dr, Ashland, KY 41102-9647 | 2020-02-26 |
| 1760923775 | Thomas Moore II | Physical Therapist | 5100 Paschall Dr, Durham, NC 27705-8534 | 2017-03-10 |
| 1437509429 | Thomas Anthony Moore | Occupational Therapist | 180 Thompson Rd, Crossville, TN 38571-0755 | 2016-06-21 |
| 1871970194 | Thomas Edward Moore | Counselor | 3937 S St Se Apt A8, Washington, DC 20020-1009 | 2015-05-06 |
| 1184039364 | Thomas Moore | Psychologist | 169 Libbey Industrial Pkwy Fl 2, Weymouth, MA 02189-3101 | 2014-06-25 |
| 1821372087 | Thomas Lowell Moore | Counselor | 1711 Hermitage Dr, Florence, AL 35630-2517 | 2011-10-06 |
| 1457537896 | Thomas L Moore | Counselor | 310 E. Lake St., Tom Moore, Mccall, ID 83638 | 2008-01-16 |
| 1376740126 | Thomas Moore Jr. | Social Worker | 2630 Skylark Rd, Wilmington, DE 19808-1634 | 2007-06-27 |
| 1013123561 | Thomas Marion Moore | Pharmacist | 4305 Peninsula Pt, Greenville, NC 27834-0520 | 2007-05-14 |
| 1164580221 | Thomas James Moore | Family Medicine | 99 E Carmel Drive, Suite E, Carmel, IN 46032 | 2006-12-04 |
| Street Address |
3020 SAINT JOHNS BLVD STE A |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962440552 | Richard A. Wolf | Internal Medicine | 3020 Saint Johns Blvd, Suite A, Joplin, MO 64804-1564 | 2006-06-03 |
| 1942493549 | Toufic Tony Saad | Internal Medicine | 3020 Saint Johns Blvd, Ste B, Joplin, MO 64804-1564 | 2007-08-27 |
| 1740487552 | Danny T Liu | Surgery | 3020 Saint Johns Blvd, Ste F, Joplin, MO 64804-1564 | 2007-06-27 |
| 1790992261 | Kenneth Leroy Watts | Surgery | 3020 Saint Johns Blvd, Suite F, Joplin, MO 64804-1564 | 2007-05-16 |
| 1386720878 | Catherine Elizabeth Chatal | Plastic Surgery | 3020 Saint Johns Blvd, Suite D, Joplin, MO 64804-1564 | 2006-10-27 |
| 1508807512 | Shawn W Sabapathy | Internal Medicine | 3020 Saint Johns Blvd, Suite A, Joplin, MO 64804-1564 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033126834 | Eugene E Langevin | Internal Medicine | 1531 W 32nd St Ste 208, Joplin, MO 64804-1651 | 2006-08-02 |
| 1255334777 | Christopher Ryan Longnecker | Internal Medicine | 1102 W 32nd St, Suite 300, Joplin, MO 64804-3503 | 2005-05-30 |
| 1457784985 | W. John Nicholas, Md, PC | Internal Medicine | 3202 Mcintosh Cir, Ste Ll03, Joplin, MO 64804-3646 | 2013-08-20 |
| 1043657844 | Augustus L Caine Jr. | Internal Medicine | 100 Mercy Way Ste 320, Joplin, MO 64804-4524 | 2013-06-03 |
| 1417144403 | Eugene E. Langevin,d.o.,p.c. | Internal Medicine | 1531 W 32nd St, Suite 208, Joplin, MO 64804-1611 | 2007-10-03 |
| 1376602649 | Rafael J Gaytan | Internal Medicine | 100 Mercy Way, Suite 320-330, Joplin, MO 64804-4524 | 2006-12-06 |
| 1063442572 | John F Swartz IIi | Internal Medicine | 1102 W 32nd Street, Ste 300, Joplin, MO 64804 | 2006-07-03 |
| 1467480558 | David Zuehlke | Internal Medicine | 1102 W 32nd St, Ste 300, Joplin, MO 64804-3503 | 2006-06-29 |
| 1669418612 | John M Cox | Internal Medicine | 1102 West 32nd Street, Ste 300, Joplin, MO 64804 | 2006-06-20 |
| 1356387484 | William John Nicholas | Internal Medicine | 3202 Mcintosh Cir, Ste Ll03, Joplin, MO 64804-3646 | 2006-06-20 |
| Find all providers in JOPLIN | ||||
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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.