Dr James T Moore, MD | |
22 S Greene St, Baltimore, MD 21201-1544 | |
(410) 328-6897 | |
(410) 328-2109 |
Full Name | Dr James T Moore |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 22 S Greene St, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053335786 | NPI | - | NPPES |
1703271 | Other | MD | UNITED HLTHCARE |
64280701 | Other | MD | BLUE SHIELD |
0094 | Other | MD | CAREFIRST REGIONAL |
2125712 | Other | MD | MDIPA |
405966200 | Medicaid | MD | |
243678 | Other | MD | KAISER |
2458751 | Other | MD | UNITED HLTHCARE NATIONAL |
88880 | Other | MD | GEISINGER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | D61840 (Maryland) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | D61840 (Maryland) | Primary |
Entity Name | University Of Maryland Surgical Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962417634 PECOS PAC ID: 1658262472 Enrollment ID: O20040621000583 |
Mailing Address | Practice Location Address |
---|---|
Dr James T Moore, MD Po Box 64226, Baltimore, MD 21264-4742 Ph: (410) 328-6897 | Dr James T Moore, MD 22 S Greene St, Baltimore, MD 21201-1544 Ph: (410) 328-6897 |
Dr. Sabrina Christine Sopha, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-3580 | |
Dr. Samantha A Wolfe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-2370 Fax: 410-955-0035 | |
Dr. Evan Wong, MD, MPH, FRCSC Surgery Medicare: Medicare Enrolled Practice Location: 1800 Orleans St Ste 6107, Baltimore, MD 21287 Phone: 410-955-2244 | |
Georgios Antonios Margonis, MD, PHD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans Street - Tower 110, Baltimore, MD 21287 Phone: 443-440-1103 | |
Bruce Robert Gibson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-0100 | |
Kenzo Hirose, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6190 | |
Josue Alvarez Casas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 29 S Greene St Ste 200, Baltimore, MD 21201 Phone: 410-328-5408 |