CAMERON MOORE (NPI# 1962932897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962932897 |
| Entity Type | Individual |
| Full Name | CAMERON MOORE |
| Credential | MD |
| Practice Address |
808 S 5th Ave Denton MD 21629-1398 |
| Practice Telephone | 4104792650 |
| Practice Fax Number | 8339082283 |
| Mailing Telephone | 4104792650 |
| Mailing Fax Number | 3390822838 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0088945 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT213588 | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 555 N Duke St, Lancaster, PA 176022250 | 7175444940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744790 | Cameron Moore | Behavior Technician | 231 S 2nd E, Rexburg, ID 83440-2202 | 2020-06-10 |
| 1104454289 | Cameron Moore | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-04-01 |
| 1952869547 | Cameron Moore | Nurse Practitioner | 11665 Fuqua St Ste C301, Houston, TX 77034-4632 | 2019-03-04 |
| 1225592751 | Cameron Moore | Case Manager/Care Coordinator | 1507 E Race Ave, Searcy, AR 72143-4661 | 2019-01-29 |
| 1841767332 | Cameron Todd Moore | Physician Assistant | 1 Hospital Dr, Columbia, MO 65212-0001 | 2018-11-01 |
| 1093239386 | Cameron Olin Moore | Physical Therapist | 3820 Northdale Blvd Ste 101a, Tampa, FL 33624-1834 | 2017-07-28 |
| 1831626399 | Cameron Moore | Hearing Instrument Specialist | 9640 N May Ave, Oklahoma City, OK 73120-2714 | 2017-05-16 |
| 1548508583 | Cameron C Moore | Physical Therapist | 17233 N Holmes Blvd Ste 1650, Phoenix, AZ 85053-2030 | 2013-01-25 |
| Street Address |
808 S 5TH AVE |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023008000 | Lisa Diane Urban | Pediatrics | 808 S 5th Ave, Denton, MD 21629-1398 | 2005-10-21 |
| 1750918447 | Sarah Lindsay Czyz | Dental Hygienist | 808 S 5th Ave, Denton, MD 21629-1398 | 2020-03-24 |
| 1720615487 | Carrie Arvonda Secrist Simpler | Dental Hygienist | 808 S 5th Ave, Denton, MD 21629-1398 | 2020-03-24 |
| 1619524477 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-26 |
| 1073160305 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-21 |
| 1336794155 | Vanessa Marie Moore | Dentist | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-08 |
| 1255858122 | Elizabeth Anne Buckshaw | Physician Assistant | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-08-23 |
| 1164953790 | Adeline Lee Melvin | Pediatrics | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-03-24 |
| 1407263072 | John Matthews Eglseder II | Physician Assistant | 808 S 5th Ave, Denton, MD 21629-1398 | 2014-07-16 |
| 1801229133 | Megan Wojtko | Nurse Practitioner | 808 S 5th Ave, Denton, MD 21629-1398 | 2013-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992369177 | Connections Primary Care | Family Medicine | 2721 Shoreline Dr Ste 120, Denton, TX 76210-0170 | 2019-04-23 |
| 1194104950 | Kamille Romain | Family Medicine | 2310 W University Dr, Denton, TX 76201-1650 | 2015-05-27 |
| 1245640192 | Nancy E Gegbe Clark | Family Medicine | 2660 Scripture St Ste 110, Denton, TX 76201-4340 | 2014-04-30 |
| 1669890315 | Gabriel Okpagu | Family Medicine | 2520 W University Dr # 1154, Denton, TX 76201-1616 | 2014-03-31 |
| 1346517919 | Robert Seavey Croissant | Family Medicine | 401 Ridgecrest Cir, Denton, TX 76205-5407 | 2011-11-25 |
| 1255619268 | Robert Lee Gispanski | Family Medicine | 4401 N I 35 Unit 312, Denton, TX 76207-3318 | 2011-07-25 |
| 1326373291 | Dogwood Housecalls Pa | Family Medicine | 3912 Drexel Dr, Denton, TX 76210-7705 | 2009-10-12 |
| 1215182191 | Linda Yeatts, M.d., P.a. | Family Medicine | 2701 W Oak St, Suite 101, Denton, TX 76201-2328 | 2008-11-19 |
| 1861652372 | Neelima Chirumamilla | Family Medicine | 2520 W University Dr, Suite 1154, Denton, TX 76201-1616 | 2008-06-10 |
| 1518144534 | Shane Jordan Ashford | Family Medicine | 2900 N Interstate 35 Ste 301, Denton, TX 76201-5146 | 2008-01-22 |
| Find all providers in DENTON | ||||
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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.