MS. BONNY LAUREN MOORE (NPI# 1902048051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902048051 |
| Entity Type | Individual |
| Full Name | MS. BONNY LAUREN MOORE |
| Credential | MD |
| Practice Address |
4501 Empire Ct Fredericksburg VA 22408-1949 |
| Practice Telephone | 5403710079 |
| Practice Fax Number | 5406562653 |
| Mailing Telephone | 5403710079 |
| Mailing Fax Number | 5406562653 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101249938 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
4501 EMPIRE CT |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962430298 | Marie Michelle Porthouse | Nurse Practitioner | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2006-06-28 |
| 1326681313 | Tiffany Frances Ayame Humphries | Nurse Practitioner | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2019-10-22 |
| 1538667498 | Leslie Cooper | Internal Medicine | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2018-01-25 |
| 1962857300 | Candice Sullivan Bittinger | Nurse Practitioner | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2016-05-03 |
| 1306267273 | Judith Burkle | Social Worker | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2013-12-19 |
| 1821371006 | Northern Virginia Pelvic Surgery Associates, PC | Obstetrics & Gynecology | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2011-09-23 |
| 1912215575 | Rosalind Barrett Malhotra | Nurse Practitioner | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2010-09-16 |
| 1912229212 | Sheila Ann Gent | Nurse Practitioner | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2010-02-28 |
| 1457586208 | Matthew T Whitehurst | Internal Medicine | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2009-05-22 |
| 1831351642 | Danielle E. Chellappoo | Registered Nurse | 4501 Empire Ct, Hoaf, Fredericksburg, VA 22408-1949 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437253788 | Leroy J Essig | Internal Medicine | 240 Executive Center Parkway, Fredericksburg, VA 22401-3107 | 2006-09-08 |
| 1588681233 | Fredericksburg Oncology, Inc. | Internal Medicine | 111 Park Hill Dr, Suite B, Fredericksburg, VA 22401-3357 | 2006-07-17 |
| 1356371157 | Sudeep Joseph Menachery | Internal Medicine | 4501 Empire Court, Fredericksburg, VA 22408 | 2006-07-04 |
| 1275025546 | Keri Amanda Bradshaw | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2018-06-03 |
| 1538667498 | Leslie Cooper | Internal Medicine | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2018-01-25 |
| 1881121614 | Virginia Oncology Care,pc | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2017-05-11 |
| 1205386729 | Jamie Mcdowell | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2016-10-07 |
| 1194164418 | Archana Jadhav | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2013-06-19 |
| 1114015989 | Nicholas A. Cook | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2006-10-10 |
| 1710095302 | Cancer Care Network of South Texas Pa | Internal Medicine | 204 W Schubert St, Fredericksburg, TX 78624-3847 | 2006-08-25 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
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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.