CASONDRA MOORE (NPI# 1932462447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932462447 |
| Entity Type | Individual |
| Full Name | CASONDRA MOORE |
| Credential | D.O. |
| Practice Address |
7330 N 99th Ave Ste 200a Glendale AZ 85307-3003 |
| Mailing Address |
3815 E Bell Rd Ste 2200 Phoenix AZ 85032-2139 |
| Practice Telephone | 6234330202 |
| Mailing Telephone | 6026333838 |
| Mailing Fax Number | 6026333845 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | L2258824 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
007657 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE | Z220861 | 01 |
| AZ | 449626 | 05 |
| Street Address |
7330 N 99TH AVE STE 200A |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85307-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154635761 | Aeroptics LLC | Optometrist | 7071 N 138th Av, Bldg 1540, Glendale, AZ 85307 | 2010-08-06 |
| 1902894579 | Daniela Nicosia | Optometrist | 7071 N 138th Ave, Luke Afb, AZ 85307 | 2005-10-07 |
| 1144633157 | Sharan Kaur Knott | Pharmacist | 10945 W Vista Ln, Glendale, AZ 85307-1645 | 2014-06-06 |
| 1841813961 | Yoshica Mitchell | Behavior Technician | 12923 W Lawrence Ct, Glendale, AZ 85307-1900 | 2020-05-22 |
| 1700328556 | Tonya Brown | Social Worker | 12912 W Mclellan Rd, Glendale, AZ 85307-1917 | 2016-11-10 |
| 1447806997 | Tamarra Kalamchi | Dentist | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-08-12 |
| 1043623648 | Dr Larsen Eye Care Inc | Optometrist | 7071 N 138th Ave # 1552, Luke Afb, AZ 85307-2006 | 2014-06-11 |
| 1619519840 | Platinum Venture Group LLC | Durable Medical Equipment & Medical Supplies | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-10-09 |
| 1710255989 | Optical Center | Technician/Technologist | 7071 N 138th Ave, Glendale, AZ 85307-2006 | 2011-12-02 |
| 1386088128 | Clifton Jamar Premo | Respiratory Therapist, Registered | 13517 W Glendale Ave, Apt 1135, Glendale, AZ 85307-2010 | 2013-04-23 |
| Find all providers in zip 85307 | ||||
| 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 |
|---|---|---|---|---|
| 1962967059 | Adventist Health Physicians Network | Internal Medicine | 1808 Verdugo Blvd Ste 414, Glendale, CA 91208-1474 | 2019-02-04 |
| 1972030427 | Advanced Medical & Surgical Ventures, Inc. | Internal Medicine | 217 S Glendale Ave, Glendale, CA 91205-1713 | 2017-05-15 |
| 1326438276 | Healthfinity, Pllc | Internal Medicine | 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 | 2015-01-30 |
| 1336411503 | Santo Salvatore Polito | Internal Medicine | 3255 Beaudry Ter, Glendale, CA 91208-1700 | 2012-02-03 |
| 1457504029 | Daniel Aram Daneshvar | Internal Medicine | 1510 S Central Ave Ste 150, Glendale, CA 91204-2541 | 2008-10-28 |
| 1760678049 | Jigar Anilkumar Patel | Internal Medicine | 18700 N 64th Dr Ste 101, Glendale, AZ 85308-7110 | 2007-09-19 |
| 1003009861 | Moustafa Banna | Internal Medicine | 5859 W. Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2007-08-23 |
| 1629270731 | Dipak Jana | Internal Medicine | 5422 W Thunderbird Rd Ste 8, Glendale, AZ 85306-4717 | 2007-06-01 |
| 1316156797 | Hossein Dehghani | Internal Medicine | 1560 E Chevy Chase Dr Ste 445, Glendale, CA 91206-4154 | 2007-05-22 |
| 1265644140 | Anthony B Alvaro | Internal Medicine | 1134 Orange Grove Ave, Glendale, CA 91205-1334 | 2007-05-04 |
| Find all providers in GLENDALE | ||||
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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.