MICHAEL J MOORE MD, PC (NPI# 1952388696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952388696 |
| Entity Type | Organization |
| Organization Name | MICHAEL J MOORE MD, PC |
| Practice Address |
131 Ornac John Cumming Bldg Concord MA 01742-4181 |
| Mailing Address |
Po Box 9132 Brookline MA 02446-9132 |
| Practice Telephone | 7812590803 |
| Mailing Telephone | 8009270002 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | MICHAEL MOORE (PRESIDENT) |
| Authorized Official Telephone | 8009270002 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MA | Allopathic & Osteopathic Physicians |
| Street Address |
131 ORNAC JOHN CUMMING BLDG |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408765 | Hytho H Pantazelos | Plastic Surgery | 131 Ornac, Ste 510, Concord, MA 01742-4162 | 2005-06-27 |
| 1871965483 | Nathan Narasimhan Md | Surgery | 131 Ornac, John Cuming Building Ste 700, Concord, MA 01742-4181 | 2015-10-22 |
| 1841594694 | Compassionate Care Associates | Clinic/Center | 131 Ornac, Suite 610, Concord, MA 01742-4181 | 2011-01-07 |
| 1487982278 | Wolfberg PC | Radiologic Technologist | 131 Ornac, Suite 710, Concord, MA 01742-4181 | 2009-12-07 |
| 1124291141 | Brooke R Seckel Md LLC | Plastic Surgery | 131 Ornac, Suite 700 John Cuming Building, Concord, MA 01742-4181 | 2008-04-10 |
| 1164695847 | Nathan Paul Narasimhan | Surgery | 131 Ornac, John Cuming Building Ste 700, Concord, MA 01742-4181 | 2008-04-02 |
| 1386812857 | Marjorie Trotter Marto | Physician Assistant | 131 Ornac, John Cuming Buliding - Suite 200, Concord, MA 01742-4181 | 2008-02-18 |
| 1720265770 | Plastic Surgicenter Inc | Plastic Surgery | 131 Ornac, John Cuming Building Suite 510, Concord, MA 01742 | 2008-01-22 |
| 1770774242 | Russell B. Butler, Md, PC | Psychiatry & Neurology | 131 Ornac, Jcb 730, Concord, MA 01742-4181 | 2007-08-08 |
| 1679773667 | Robert C. Cantu Md Neurological Surgery, Inc. | Specialist | 131 Ornac, John Cuming Building Suite 820, Concord, MA 01742-4181 | 2007-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
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|---|---|---|---|---|
| 1699388967 | Novant Medical Group, Inc. | Neurological Surgery | 311 Coddle Market Dr Nw Ste 200, Concord, NC 28027-2432 | 2020-08-26 |
| 1437528916 | Carolina Neurosurgery & Spine Associates, Pa | Neurological Surgery | 110 Lake Concord Rd Ne, Concord, NC 28025-2918 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1376021279 | Felix Nwajei | Neurological Surgery | 725 Albany St # 7c, Boston, MA 02118-2526 | 2018-08-02 |
| 1740627579 | Christian Strong | Neurological Surgery | 75 Francis St # Ab-136, Boston, MA 02115-6110 | 2013-06-03 |
| 1194080010 | Scott B Raymond | Neurological Surgery | 2 Medical Center Dr Ste 503, Springfield, MA 01107-1273 | 2012-07-06 |
| 1346510344 | Tbsg LLC Shc | Neurological Surgery | 32 Newton St, Southborough, MA 01772-1215 | 2012-01-06 |
| 1518251834 | Zachary Luke Tataryn | Neurological Surgery | 197 Beacon St, Apartment 3r, Boston, MA 02116-1461 | 2011-06-03 |
| 1629306378 | Mark S. Klein, Md, Pa | Neurological Surgery | 7501 Surratts Rd., Suite 204, Clinton, MA 20735 | 2009-11-18 |
| 1497997894 | Teodoro Forcht Dagi | Neurological Surgery | 423 Commonwealth Ave, Newton Centre, MA 02459-1301 | 2009-03-31 |
| 1104076132 | Donald W Marion | Neurological Surgery | 35 High Rock Rd, Wayland, MA 01778-3607 | 2008-09-26 |
| 1598932154 | Yi Lu | Neurological Surgery | 75 Francis St, Ca455, Department of Neurosurgery, Brigham & Women's Hospital, Boston, MA 02115-6110 | 2008-05-13 |
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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.