MRS. STEPHANIE POLK MOORE (NPI# 1902955149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902955149 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE POLK MOORE |
| Credential | M.D. |
| Practice Address |
159 Margaret St Suite 100 Plattsburgh NY 12901-1874 |
| Practice Telephone | 5183242040 |
| Practice Fax Number | 5183242041 |
| Mailing Telephone | 5183242040 |
| Mailing Fax Number | 5183242041 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 224178-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02743295 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299265 | Stephanie Angela Moore | Nurse Practitioner | 10850 Navajo Dr, New Port Richey, FL 34654-5233 | 2020-06-10 |
| 1174143432 | Stephanie Moore | Behavior Technician | 3205 N Dustin Ave, Farmington, NM 87401-9229 | 2020-04-16 |
| 1386113421 | Stephanie Jade Moore | Counselor | 1104 Vine Street, Batesville, AR 72501-8638 | 2018-11-19 |
| 1609371285 | Stephanie Michelle Moore | Physical Therapy Assistant | 11618 Us Hwy 70 W Ste 100, Clayton, NC 27520-2276 | 2018-03-27 |
| 1134639891 | Stephanie Moore | Counselor | 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 | 2017-10-09 |
| 1851711337 | Stephanie Moore | Health Educator | 2438 Laconia Avenue, Bronx, NY 10469 | 2014-04-23 |
| 1467752584 | Stephanie K Moore | Social Worker | 308 Indigo Drive, Cary, NC 27513-3322 | 2010-10-22 |
| 1275789448 | Stephanie Strong Moore | Dentist | 2025 Glennfield Lane, Augusta, GA 30909 | 2008-08-07 |
| 1376676585 | Stephanie Moore | Behavioral Analyst | 3904 Seasons Pt, Evansville, IN 47715-1389 | 2007-03-14 |
| 1740261486 | Stephanie A Moore | Internal Medicine | 55 Fruit St # 800, Department of Cardiovascular Medicine, Boston, MA 02114-2621 | 2005-11-09 |
| Street Address |
159 MARGARET ST SUITE 100 |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235571 | Laura G. Carbone | Internal Medicine | 159 Margaret St, Ste 600, Plattsburgh, NY 12901-1883 | 2005-06-14 |
| 1124655055 | Nihit Navroz Mehta | Student in an Organized Health Care Education/Training Program | 159 Margaret St, Plattsburgh, NY 12901-1893 | 2020-03-23 |
| 1912499146 | Zachary Mark Mashaw | Student in an Organized Health Care Education/Training Program | 159 Margaret St, Plattsburgh, NY 12901 | 2018-06-04 |
| 1073045746 | Johnnie Jacqueline Wren | Student in an Organized Health Care Education/Training Program | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1893 | 2017-03-31 |
| 1255772729 | Primary Care Health Partners-adirondack LLC | Pediatrics | 159 Margaret St, Suite 103, Plattsburgh, NY 12901-1874 | 2013-07-12 |
| 1770832040 | Darcy M Reid | Nurse Practitioner | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1893 | 2012-09-02 |
| 1023377843 | Lindsey Brooke Wilhelm | Family Medicine | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1893 | 2012-05-14 |
| 1144588252 | Maegan Boulerice Cabrera | Family Medicine | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1893 | 2012-04-26 |
| 1548540198 | Ann Jacqueline Heywood | Nurse Practitioner | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1893 | 2011-08-26 |
| 1932331667 | Associated Community Action of The North East Adirondack Region, Inc. | Allergy & Immunology | 159 Margaret St, Plattsburgh, NY 12901-1874 | 2009-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164636445 | Sudha S Patel | Pediatrics | 4 Pinewood Drive, Plattsburgh, NY 12901 | 2007-05-09 |
| 1710042882 | Robert William Moore | Pediatrics | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2006-12-27 |
| 1053408559 | Harold H Chaskey Jr. | Pediatrics | 151 Bridge Street, Plattsburgh, NY 12901 | 2006-10-06 |
| 1316365489 | Sara Anne Mednansky | Pediatrics | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2014-04-04 |
| 1255772729 | Primary Care Health Partners-adirondack LLC | Pediatrics | 159 Margaret St, Suite 103, Plattsburgh, NY 12901-1874 | 2013-07-12 |
| 1407296908 | Jana Lichtenfeld | Pediatrics | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2013-06-28 |
| 1285992479 | Philip Matthew Magcalas | Pediatrics | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2012-04-25 |
| 1114210788 | Erin Laura Spees | Pediatrics | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2011-05-16 |
| 1598908188 | Ceila M. Dominguez Del Villar | Pediatrics | 18 Feathers Dr, Plattsburgh, NY 12901-6461 | 2009-04-12 |
| 1306997119 | Deirdre Ruth Schaefer | Pediatrics | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1874 | 2007-01-16 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
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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.