Dr. Ann Margaret Moore
Geriatric Medicine Hospice and Palliative Medicine
800 Broadway Suite 115
Fort Wayne
, Indiana 46802-2149
Dr. Ann Margaret Moore
Geriatric Medicine Hospice and Palliative Medicine
800 Broadway Suite 115
Fort Wayne
, Indiana 46802-2149
(260) 425-3636
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About
Features
Specialties
- Geriatric Medicine
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Ann Margaret Moore
- 800 Broadway Suite 115
- Fort Wayne, IN
- Zip : 46802-2149
- Phone : (260) 425-3636
Second Address
- Dr. Ann Margaret Moore
- 800 Broadway Suite 115
- Fort Wayne, IN
- Zip : 46802-2149
- Phone : (260) 425-3636
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 02002191A | IN |
| N | 207RH0002X | Hospice and Palliative Medicine | 02002191A | IN |
National Provider Identifier
| NPI | 1194705269 |
|---|---|
| Provider Name | Dr. Ann Margaret Moore |
| First Address | Fort Wayne, IN 46802-2149 |
| Second Address | Fort Wayne, IN 46802-2149 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2006 |
| Last Update Date | 22/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000283793 | ANTHEM (01) | IN |
| 200290130 | (05) | IN |
| H26005 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.