DR. CHARLES R MOORE (NPI# 1982655312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982655312 |
| Entity Type | Individual |
| Full Name | DR. CHARLES R MOORE |
| Credential | MD |
| Practice Address |
1000 E 1st St Ste 203 Duluth MN 55805-2297 |
| Practice Telephone | 2182496960 |
| Mailing Telephone | 2182496960 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
42339 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841790995 | Charles Edward Moore II | Case Manager/Care Coordinator | 2024 Te Ata Drive, Ada, OK 74820 | 2018-02-15 |
| 1114336310 | Charles Moore | Dentist | 1710 Trolley Rd Ste B, Summerville, SC 29485-8281 | 2014-08-13 |
| 1467620799 | Charles Robert Moore | Anesthesiology | 6129 Cottage Dr, Haslett, MI 48840-8939 | 2008-02-20 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1346452620 | Charles Maurice Moore | Counselor | 1516 Kelly Ct, Conover, NC 28613-7801 | 2007-05-07 |
| 1649497561 | Charles E Moore | Specialist | 1210 Miccosukee Rd, Tallahassee, FL 32308-5076 | 2007-04-20 |
| 1215053426 | Charles Robert Moore | Ophthalmology | 926 N Wilcrest Dr, Houston, TX 77079-3504 | 2007-03-21 |
| 1629020011 | Charles Henry Moore | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-05-16 |
| 1629038609 | Charles Edward Moore Jr. | Family Medicine | 2407 Helton Dr Ste B, Florence, AL 35630-1067 | 2006-03-24 |
| 1902877012 | Charles S Moore | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-01-27 |
| Street Address |
1000 E 1ST ST STE 203 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205497 | Kundel Pediatric Associates, Pa | Pediatrics | 1000 E 1st St, Ste 204, Duluth, MN 55805-2297 | 2005-06-20 |
| 1356989685 | Alanna Norick | Midwife | 1000 E 1st St, Duluth, MN 55805-2297 | 2019-12-17 |
| 1306380571 | St. Luke's Hospital of Duluth | Surgery | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2016-12-07 |
| 1184178006 | Erica Marie Wagner | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2016-08-09 |
| 1114372349 | Tiffany Venne | Specialist/Technologist | 1000 E 1st St, Ste 404, Duluth, MN 55805-2297 | 2016-04-25 |
| 1780093195 | Kayleigh Hursh | Physician Assistant | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2014-08-11 |
| 1134539158 | Kaytlin Elisabeth Richie | Nurse Practitioner | 1000 E 1st St, Ste. Ll, Duluth, MN 55805-2297 | 2014-04-29 |
| 1942647532 | Jacquelyn Ryan Messer | Nurse Practitioner | 1000 E 1st St, Ste. N203, Duluth, MN 55805-2297 | 2013-05-23 |
| 1184970857 | Danielle Lee Morse | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2012-07-31 |
| 1760737811 | David Labore | Physician Assistant | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2012-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1609428325 | Duluth Regenerative and Joint Institute LLC | Internal Medicine | 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096-6387 | 2019-07-12 |
| 1376805333 | Robert Louis Mango | Internal Medicine | 400 E 3rd St, Duluth, MN 55805 | 2012-06-14 |
| 1215166145 | Fatima Abdallah Alnaimat | Internal Medicine | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2009-07-13 |
| 1497789903 | Robert Dana Leff | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-10 |
| 1316979933 | Ana Margarita Fernandez-pokorny | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-06 |
| 1699728261 | St. Luke's Hospital of Duluth | Internal Medicine | 1000 E 1st St, Suite 203, Duluth, MN 55805-2297 | 2006-05-17 |
| 1184675290 | Stephen Leigh Hadley | Internal Medicine | 1000 E 1st St, Suite N203, Duluth, MN 55805-2297 | 2006-05-13 |
| 1104880822 | Veronica Mesquida | Internal Medicine | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2006-04-12 |
| 1932172533 | Cynthia Anderson Weaver | Internal Medicine | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2006-02-13 |
| 1720075500 | Waseem Khan | Internal Medicine | 1000 E 1st St, Suite 203, Duluth, MN 55805-2297 | 2005-10-05 |
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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.