Cecilia G. Moore DPM LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

2197 Issued in MA

Legal business name

CECILIA G. MOORE DPM LLC

Practice address

214 Orleans Rd
Suite C
North Chatham, MA 02650-3101

Phone

(508) 945-8720

Fax

(508) 945-8724

NPI assigned

Dec 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cecilia G Moore, D.P.M.

Title

Owner

Phone

(508) 945-8720

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1962685396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ORLEANS RD",
            "address_2": "SUITE C",
            "city": "NORTH CHATHAM",
            "state": "MA",
            "postal_code": "026503101",
            "telephone_number": "508-945-8720",
            "fax_number": "508-945-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ORLEANS RD",
            "address_2": "SUITE C",
            "city": "NORTH CHATHAM",
            "state": "MA",
            "postal_code": "026503101",
            "telephone_number": "508-945-8720",
            "fax_number": "508-945-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA G. MOORE DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-945-8720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "2197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MA",
            "identifier": "Y77351",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broad Reach of Chatham Inc.
• Mary J Brophy, PT
• Kerri Michelle Burke, D.P.T
• Simone C Byrne, MA, BCBA, LABA
• Caredoccomm
• Joanna Ewa Chowanska, PT
• Kylie Joanne Cocozza, CCC-SLP
• Kelsey Lynn Cutts, DPT
• Mary E. Grover, M.S. CCC-SLP
• Alison Hyder

• Foot Surgery Podiatrist in North Chatham, MA
• Providers in North Chatham, MA by specialty
• Foot Surgery Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.