Dr Justin Derrick Moore, MD | |
215 W Bowery St Ste 5, Akron, OH 44308-1069 | |
(330) 543-4500 | |
Not Available |
Full Name | Dr Justin Derrick Moore |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
Location | 215 W Bowery St Ste 5, Akron, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619323946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 35.139964 (Ohio) | Primary |
207V00000X | Obstetrics & Gynecology | 35.139964 (Ohio) | Secondary |
Entity Name | Summa Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235167719 PECOS PAC ID: 2961303532 Enrollment ID: O20040116000295 |
Mailing Address | Practice Location Address |
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Dr Justin Derrick Moore, MD 2178 Edgeview Dr, Hudson, OH 44236-1825 Ph: (810) 223-1330 | Dr Justin Derrick Moore, MD 215 W Bowery St Ste 5, Akron, OH 44308-1069 Ph: (330) 543-4500 |
Ms. Tara Dale Donaldson, CNP Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 161 N Forge St Ste 295, Akron, OH 44304 Phone: 330-379-3514 | |
Dr. Amy M Burkett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Park West Blvd, Akron, OH 44320 Phone: 330-869-9777 Fax: 330-869-0052 | |
David M Nash, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 95 Arch St, Ste 250, Akron, OH 44304 Phone: 330-375-7722 Fax: 330-253-6708 | |
Cecilia A. Ellis, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 605 N Cleveland Massillon Rd, Akron, OH 44333 Phone: 330-668-6545 Fax: 330-668-2726 | |
James Graham, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 919 E Turkeyfoot Lake Rd Ste A, Akron, OH 44312 Phone: 330-899-9626 Fax: 330-633-6068 | |
John A. Black, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312 Phone: 330-344-8565 Fax: 330-896-7085 | |
Dr. Muriel Tabet, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Park West Blvd, Ste 200, Akron, OH 44320 Phone: 330-869-9777 Fax: 330-865-6011 |