Dr. Meagan W Moore
Internal Medicine (Pulmonary Disease)

Address: 20 York St, T-209, New Haven, CT 06510-3220
Phone: 2036882259

Dr. Meagan W Moore (NPI# 1154596997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1154596997
Entity Type Individual
Full Name Dr. Meagan W Moore
Credential M.D., PH.D.
Gender Female
Practice Address 20 York St
T-209
New Haven
CT 06510-3220
Practice Telephone 2036882259
Practice Fax Number 2036885599
Mailing Address 300 Cedar St
Tac 441s
New Haven
CT 06519-1612
Mailing Telephone 2037854198
Mailing Fax Number 2037375453
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2008-04-23
Last Update Date 2015-04-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 052675 CT
Yes 207RP1001X Internal Medicine · Pulmonary Disease Allopathic & Osteopathic Physicians 052675 CT
No 207RC0200X Internal Medicine · Critical Care Medicine Allopathic & Osteopathic Physicians 052675 CT

Other Providers MEAGAN MOORE

NPI Name Taxonomy Address Enumeration
1144791443 Meagan Moore Speech-Language Pathologist 12 Magnolia St, Easton, MD 21601-3657 2018-12-12
1447388244 Meagan Marie Moore Specialist 9900 Talbert Ave Ste 202, Fountain Valley, CA 92708-5153 2007-03-01

Physician Overview

NPI 1154596997
PAC ID by PECOS 6204156839
Professional Enrollment ID I20170414000417
Full Name Meagan Moore
Organization Legal Name CHEST MEDICINE ASSOCIATES PA
Phone Number 2078281122
Gender F
Medical School UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year 2008
Primary Specialty PULMONARY DISEASE
Group Practice PAC ID 0547258931
Number of Group Practice Members 23
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
200009 MAINE MEDICAL CENTER
200008 MERCY HOSPITAL
200019 SOUTHERN MAINE HEALTH CARE
301307 MEMORIAL HOSPITAL, THE

Office Location

Street Address 20 YORK ST
T-209
City NEW HAVEN
State CT
Zip Code 06510-3220

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952318214 Deepa Camenga Pediatrics 20 York St, New Haven, CT 06510-3220 2006-08-01
1295207413 Victoria Ahrens Student in an Organized Health Care Education/Training Program 20 York St, New Haven, CT 06510-3220 2018-12-28
1558833160 Mallory Grosso Student in an Organized Health Care Education/Training Program 20 York St, New Haven, CT 06510-3220 2018-12-20
1457822330 Robert J Danilowicz Nurse Anesthetist, Certified Registered 20 York St, New Haven, CT 06510-3220 2018-12-17
1235608522 Michael E Guerra Pharmacist 20 York St, New Haven, CT 06510-3220 2018-11-16
1063989804 Sara Cohn Pharmacist 20 York St, New Haven, CT 06510-3220 2018-10-30
1346715349 Aldo Mauricio Velasquez Radiology 20 York St, New Haven, CT 06510-3220 2018-10-05
1578046942 Akuba Cudjoe Student in an Organized Health Care Education/Training Program 20 York St, New Haven, CT 06510-3220 2018-09-12
1841773694 John Montojo Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2018-09-07
1821570938 Michael Anthony Limosani Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2018-09-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639652779 Laura Goldblum Social Worker 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 2018-09-14
1477049138 Joseph Lawrence Earles Otolaryngology Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 2018-07-06
1104316405 Emma Sophie Taylor-salmon Student in an Organized Health Care Education/Training Program 20 York Street - Pediatrics, New Haven, CT 06510 2018-05-14
1407346703 Eric Isaac Elliott Student in an Organized Health Care Education/Training Program 20 York Street Ynhh - Department of Internal Medicine, New Haven, CT 06510 2018-05-14
1821588070 Tarek Kamal Khader Student in an Organized Health Care Education/Training Program 20 York Street - Department of Obstetrics & Gynecology, New Haven, CT 06510 2018-05-14
1508356759 Rebecca Anne Beagan Student in an Organized Health Care Education/Training Program 20 York Street- Pediatrics, New Haven, CT 06510 2018-05-14
1376033563 Wael S Ibrahim Student in an Organized Health Care Education/Training Program 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 2018-05-14
1821588138 Molly Ann Markowitz Student in an Organized Health Care Education/Training Program 20 York Street Ynhh and Yale Pediatrics Department, New Hven, CT 06510 2018-05-11
1174013494 Naomi Naa-adjeley Adjei Student in an Organized Health Care Education/Training Program 20 York Street Ynhh - Tompkins 226, New Haven, CT 06510 2018-05-11
1891297727 Dylan Ryan Physician Assistant 20 York St # 218, New Haven, CT 06510 2018-03-07
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356761290 Issahar Ben-dov Internal Medicine 300 Cedar St, Pulmonary &critical Care Section, Tac-441 South, New Haven, CT 06520-8057 2014-04-18
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1417189218 Astha Chichra Internal Medicine 789 Howard Ave Bldg 2nd, New Haven, CT 06519-1304 2009-08-13
1619151503 Seppo Tapani Rinne Internal Medicine 313 Saint John St, 2nd Floor, Left Side, New Haven, CT 06511-4975 2007-12-27
1215143953 Kaiser Toosy Internal Medicine 136 Sherman Ave Ste 302, New Haven, CT 06511-5210 2007-05-16
1376918870 Naftali Kaminski Internal Medicine 20 York St, New Haven, CT 06510-3220 2015-12-09
1174954960 Sushil Gupta Internal Medicine 136 Sherman Ave, Suite#504, New Haven, CT 06511-5238 2013-12-05
1538477658 Inderjit Singh Internal Medicine 300 Cedar Street, Tac-441 South, New Haven, CT 06519 2010-09-23
1366761256 Christopher John Winterbottom Internal Medicine 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 2010-05-18
1396988523 Andrew Paris Internal Medicine 20 York St, Yale-new Haven Hospital, New Haven, CT 06510 2009-04-17
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Competitor

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City NEW HAVEN
Zip Code 06510

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Dataset Information

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.

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