MR. SCOTT MOORE (NPI# 1942498712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942498712 |
| Entity Type | Individual |
| Full Name | MR. SCOTT MOORE |
| Practice Address |
705 N 2nd St Suite A Clarksville TN 37040-1917 |
| Practice Telephone | 9315200244 |
| Mailing Telephone | 9315200244 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316182678 | Scott Robert Moore | Massage Therapist | 565 S 250 E, Ivins, UT 84738-5010 | 2008-12-15 |
| 1497709513 | Scott Macleod Moore | Pediatrics | 13699 Old Us 12, Chelsea, MI 48118 | 2006-05-22 |
| 1780674358 | Scott Marshall Moore | Chiropractor | 1701 Shepherd Rd, Lakeland, FL 33811-2179 | 2005-10-25 |
| 1861490476 | Scott Garner Moore | Family Medicine | 174 Highway 113, Flomaton, AL 36441-4556 | 2005-07-08 |
| 1699249045 | Scott Moore | Social Worker | 14426 S Outer 40 Rd, Town and Country, MO 63017-5711 | 2019-01-18 |
| 1043683204 | Scott Moore | Pharmacist | 881 W Buchanan St, Prairie Grove, AR 72753-2880 | 2015-11-09 |
| 1619356961 | Scott Richard Moore | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2015-05-20 |
| 1932510351 | Scott Anthony Moore | Substance Abuse Rehabilitation Facility | 69 Arrowhead Loop, Canadian, OK 74425-5012 | 2014-05-20 |
| 1184062556 | Scott Emory Moore | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2013-06-07 |
| 1629363858 | Scott Moore | Pharmacist | 275 S River Rd, St George, UT 84790-2116 | 2011-06-15 |
| Street Address |
705 N 2ND ST SUITE A |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134332059 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 705 N 2nd St, Suite A, Clarksville, TN 37040-1917 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225679277 | Back Brace Supply LLC | Orthotic Fitter | 670 S White Station Rd, Memphis, TN 38117-4527 | 2019-10-01 |
| 1487962726 | Gary Kent Weaver Jr. | Orthotic Fitter | 348 Trane Dr, Knoxville, TN 37919-6052 | 2010-09-21 |
| 1609075621 | Bobijo Murphy | Orthotic Fitter | 1238 Nw Broad St, Murfreesboro, TN 37129-1713 | 2007-07-11 |
| 1548305501 | Norma Jean Johnson | Orthotic Fitter | 140 Lake Dr., Tiptonville, TN 38079-1359 | 2007-02-20 |
| 1598797045 | Breast Prostheses & Orthotics Inc | Orthotic Fitter | 1850 Edgemont Ave, Bristol, TN 37620-4309 | 2006-07-07 |
| 1336148808 | Diana Lynn Montgomery | Orthotic Fitter | 60 Long Ave, Parsons, TN 38363-2429 | 2005-07-18 |
| 1942780580 | Matthew D Stimson | Orthotic Fitter | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-08-14 |
| 1073815999 | Wendy D Eaton | Orthotic Fitter | 2150 N Ocoee St, Cleveland, TN 37311-3936 | 2010-11-29 |
| 1821274713 | Penny G Handmacher | Orthotic Fitter | 2030 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2008-01-10 |
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.