DR. JUSTIN B MOORE (NPI# 1922133545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922133545 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN B MOORE |
| Credential | MD |
| Practice Address |
8533 E 32nd St N Wichita KS 67226-2611 |
| Mailing Address |
Po Box 1358 Wichita KS 67201-1358 |
| Practice Telephone | 3162932633 |
| Practice Fax Number | 3162931866 |
| Mailing Telephone | 3162933429 |
| Mailing Fax Number | 3162931882 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2014-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 04-30959 | KS | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
04-30959 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323946 | Justin Derrick Moore | Obstetrics & Gynecology | 9500 Euclid Ave # 44195, Cleveland, OH 44195-2648 | 2016-05-05 |
| 1346620119 | Justin R Moore | Counselor | 10 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-5312 | 2015-06-05 |
| 1619171568 | Justin J Moore | Counselor | Hu Box # 12262, Searcy, AR 72149-0001 | 2007-06-13 |
| 1619185006 | Justin Donald Moore | Physical Therapist | 4819 1st St S, Arlington, VA 22204-1315 | 2007-05-18 |
| 1366444267 | Justin L Moore | Specialist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2005-08-11 |
| 1831743699 | Justin Moore | Physical Therapy Assistant | 3470 Landers Rd, North Little Rock, AR 72117 | 2019-07-30 |
| 1346704970 | Justin Moore | Community Health Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2019-01-28 |
| 1699279117 | Justin Earl Moore | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-03-20 |
| 1437689122 | Justin Moore | Marriage & Family Therapist | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2017-06-14 |
| 1487005393 | Justin Anthony Moore | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-06-22 |
| Street Address |
8533 E 32ND ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366442170 | Julie A Slade | Physician Assistant | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2005-07-22 |
| 1083071435 | Vanessa Nicole Farha | Dietitian, Registered | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2016-01-15 |
| 1194106302 | Amanda Maupin | Social Worker | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2015-06-12 |
| 1225388275 | Debora Ann Brand | Nurse Practitioner | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2012-09-18 |
| 1518278407 | Angela R Carr | Social Worker | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2010-06-25 |
| 1790010262 | Pamela J Greenleaf | Dietitian, Registered | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2009-10-16 |
| 1952564908 | Georges Elhomsy | Internal Medicine | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2008-07-09 |
| 1104025493 | Jolene Grothe | Registered Nurse | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2007-07-16 |
| 1174720205 | Rami Mortada | Internal Medicine | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2007-07-02 |
| 1528280328 | Nathan Douglas Tofteland | Internal Medicine | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1093245979 | Endocrine Center of Kansas, LLC | Internal Medicine | 9300 E 29th St N Ste 204, Wichita, KS 67226-2183 | 2017-06-14 |
| 1356724413 | Trina Health-witchita N.w., LLC | Internal Medicine | 8414 W 13th St N, Ste 200, Wichita, KS 67212-2979 | 2015-07-07 |
| 1750769956 | Double Arrow Metabolism, LLC | Internal Medicine | 2242 N Redbud Ln, Wichita, KS 67204-5346 | 2015-05-08 |
| 1790780831 | Phillip D Challans | Internal Medicine | 2535 E Lincoln St, Wichita, KS 67211-3821 | 2005-06-16 |
| 1770080673 | Wichita Diabetes and Endocrinology, LLC | Internal Medicine | 8110 E 32nd St N Ste 125, Wichita, KS 67226 | 2018-04-09 |
| 1134449937 | Lillian R Harstine Md Pa | Internal Medicine | 3223 N Webb Rd, S 3, Wichita, KS 67226-8175 | 2010-06-03 |
| 1306071303 | Preferred Medical Associates | Internal Medicine | 848 N Saint Francis St, Ste. 2968, Wichita, KS 67214-3800 | 2009-05-19 |
| 1942441357 | Sahar Bassam Hachem | Internal Medicine | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2009-03-13 |
| 1952564908 | Georges Elhomsy | Internal Medicine | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2008-07-09 |
| 1174720205 | Rami Mortada | Internal Medicine | 8533 E 32nd St N, Wichita, KS 67226-2611 | 2007-07-02 |
| Find all providers in WICHITA | ||||
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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.