James Robert Moore in Minneapolis - Developmental - Behavioral Pediatrics
James Robert Moore - NPI 1275624561
James Robert Moore is a Developmental - Behavioral Pediatrics in Minneapolis, Minnesota. James Robert Moore practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for James Robert Moore is 1275624561. The last update date is 2007-07-08.
James Robert Moore's current location address is 2545 Chicago Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128136475. The mailing address for James Robert Moore is 2545 Chicago Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | James Robert Moore |
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Address | 2545 Chicago Ave, Minneapolis, Minnesota |
Phone Number | 6128136475 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1275624561 |
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Provider Enumeration Date | 2006-09-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2545 Chicago Ave |
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City | Minneapolis |
State | Minnesota (MN) |
Post Code | 554044522 |
Phone Number | 6128136475 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Developmental - Behavioral Pediatrics |
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Taxonomy | 2080P0006X |
Licence No | 23272 |
Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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56300500 | MN | -- |
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What is the unique identifier code issued to James Robert Moore by the Centers for Medicare & Medicaid Services?
The James Robert Moore has been assigned the NPI (National Provider Identifier) 1275624561. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where James Robert Moore's facilities are situated?
The facilities of James Robert Moore are physically located at the following address: 2545 Chicago Ave, Minneapolis, MN, 554044522.
What is James Robert Moore's area of expertise and its corresponding taxonomy classification?
The James Robert Moore's field of specialization is Developmental - Behavioral Pediatrics, and it falls under the taxonomy code 2080P0006X, which categorizes healthcare providers based on their areas of practice.
On what date did the James Robert Moore receive its 1275624561 assignment from the Centers for Medicare & Medicaid Services?
The James Robert Moore was assigned its 1275624561 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date was the information regarding James Robert Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James Robert Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY