CECILIA G. MOORE DPM LLC (NPI# 1962685396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962685396 |
| Entity Type | Organization |
| Organization Name | CECILIA G. MOORE DPM LLC |
| Practice Address |
214 Orleans Rd Suite C North Chatham MA 02650-3101 |
| Practice Telephone | 5089458720 |
| Practice Fax Number | 5089458724 |
| Mailing Telephone | 5089458720 |
| Mailing Fax Number | 5089458724 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-14 |
| Authorized Official Name | DR. CECILIA G MOORE (OWNER) |
| Authorized Official Telephone | 5089458720 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
2197 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE SHIELD OF MA | Y77351 | 01 |
| Street Address |
214 ORLEANS RD SUITE C |
| City | NORTH CHATHAM |
| State | MA |
| Zip Code | 02650-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933976 | Mary J Brophy | Physical Therapist | 390 Orleans Road, North Chatham, MA 02650 | 2019-07-08 |
| 1083785000 | Edward Robert Harned | Family Medicine | 49 Echo Lane, North Chatham, MA 02650 | 2006-11-13 |
| 1700822061 | Thomas C Halliday | Family Medicine | 69 Crows Pond Rd, North Chatham, MA 02650 | 2006-06-22 |
| 1720263791 | Simone C Byrne | Behavioral Analyst | 24 Andrew Mitchell Ln, North Chatham, MA 02650-1055 | 2008-01-08 |
| 1821066168 | Benjamin Smolenski | Orthopaedic Surgery | 725 Old Harbor Rd, North Chatham, MA 02650-1134 | 2006-03-11 |
| 1083196687 | Nicolette Branson | Specialist/Technologist | 98 Orleans Rd, North Chatham, MA 02650-1151 | 2018-08-30 |
| 1497748735 | Broad Reach of Chatham Inc. | Skilled Nursing Facility | 390 Orleans Rd, N Chatham, MA 02650-1154 | 2005-08-23 |
| 1093295081 | Kelsey Lynn Lotti | Physical Therapist | 390 Orleans Rd, North Chatham, MA 02650-1154 | 2018-08-19 |
| 1194236687 | Caredoccomm | Internal Medicine | 390 Orleans Rd, North Chatham, MA 02650-1154 | 2017-10-24 |
| 1013455286 | Santos Md Dr LLC | Internal Medicine | 390 Orleans Rd, North Chatham, MA 02650-1154 | 2017-02-07 |
| Find all providers in zip 02650 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043746878 | Faezeh Bakhtiari-nejad | Podiatrist | 223 Concord Tpke Unit 219, Cambridge, MA 02140-2338 | 2017-05-11 |
| 1679966584 | Melrose Family Foot Care Group | Podiatrist | 533 Franklin St, Melrose, MA 02176-1742 | 2015-03-17 |
| 1366795023 | Matthew P. Butler, D.p.m. LLC | Podiatrist | 1153 Centre Street, Suite # 5980, Brigham and Women's Faulkner Hospital, Boston, MA 02130 | 2012-10-18 |
| 1518141035 | Richard S. Donela | Podiatrist | 900 State Rd, North Adams, MA 01247-3030 | 2007-12-19 |
| 1932145810 | Mark Paul Sanphy | Podiatrist | 98 Nahant St, Lynn, MA 01902-3315 | 2006-06-21 |
| 1154385078 | Matthew P Butler | Podiatrist | 340 Maple Street, Suite 405, Marlborough, MA 01752 | 2006-04-17 |
| 1083675573 | Susan M Walsh | Podiatrist | 981 Canton Ave, Milton, MA 02186-3621 | 2006-04-01 |
| 1316914971 | Bruce Treadwell Croft | Podiatrist | 795 Main St, Holden, MA 01520-3800 | 2006-03-02 |
| 1255301891 | James Gerard Cataldo | Podiatrist | 14 Manning Ave, Suite 302, Leominster, MA 01453-5768 | 2006-01-25 |
| 1104804640 | Neil J Feldman | Podiatrist | 299 Lincoln St, Suite 202, Worcester, MA 01605-3646 | 2006-01-05 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHATHAM |
| Zip Code | 02650 |
Please comment or provide details below to improve the information on CECILIA G. MOORE DPM LLC.
| 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.