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NORMAN BLAKE MOORE CRNA, NPI 1225030372

Nurse Anesthetist in HATTIESBURG, MS

Last Updated on : Jul 14,2020

About NORMAN BLAKE MOORE (NPI 1225030372)


NORMAN BLAKE MOORE is a Nurse Anesthetist provider in HATTIESBURG, United States. His medical specialization is Nurse Anesthetist with a focus in Certified Registered.

1225030372 is NPI number of NORMAN BLAKE MOORE.

NORMAN BLAKE MOORE's primary taxonomy code based on NPI Lookup is 367500000X with license number 1-090700. This taxonomy code refers to Nurse Anesthetist.

NORMAN BLAKE MOORE has more than 16 years of experience.

NORMAN BLAKE MOORE current practice location address is 415 S 28TH AVE, HATTIESBURG, MS. NORMAN BLAKE MOORE can be reached out via phone at 601-261-3606 and via fax at 601-579-5383 .

You can also correspond with NORMAN BLAKE MOORE through mail at mailing address 2890 DAUPHIN ST, MOBILE, AL, United States. Mailing address contact number is 601-261-3606.

The enumeration date of NORMAN BLAKE MOORE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 2 years ago.

1225030372 NPI Information

Name NORMAN BLAKE MOORE
National Provider Id (NPI) 1225030372
Entity Type Individual
Gender M
Credential CRNA
Practice Address 415 S 28TH AVE,
HATTIESBURG, MS, United States
Practice Telephone 601-261-3606
Practice Fax Number 601-579-5383
Mailing Address 2890 DAUPHIN ST ,
MOBILE, AL, United States
Mailing Telephone 601-261-3606
Mailing Fax Number 601-579-5240
Enumeration Date 01-Jun-2005
Last Updated Date 14-Jul-2020

NORMAN BLAKE MOORE (NPI 1225030372) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 367500000X Nurse Anesthetist, Certified Registered 1-090700 AL

NORMAN BLAKE MOORE (NPI 1225030372) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 367500000X Nurse Anesthetist, Certified Registered 901401 MS

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
01934777 MEDICAID (05) MS

NORMAN BLAKE MOORE (NPI 1225030372) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1396101655 SAMUEL CHRISTOPHER ROSA Counselor, Professional PO BOX 18421,
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1285179135 LASHONTAY BURKETT Community Health Worker 332 EMERSON DR,
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02-Jan-2017
1801369467 SUMMER A STONE Nurse Anesthetist, Certified Registered 3340 PLAYERS CLUB PKWY STE 350,
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07-Jan-2019
1497394803 JAMES DEVAN DEARMAN Nurse Anesthetist, Certified Registered 5001 HARDY ST,
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02-Jan-2020
1891334215 BRANDON SCOTT TULLOS Nurse Anesthetist, Certified Registered 3340 PLAYERS CLUB PKWY STE 350,
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1982682522 MCH OF RIO GRANDE VALLEY INC Home Health PO BOX 16809,
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04-Jan-2006
1386701944 DEBBIE L MOORE Acupuncturist 6682 HIGHWAY 11 N, SUITE 103
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03-Jan-2007
1174680516 FRED H. DREWS, Dentist 313 SOUTH 40TH AVENUE, PO BOX 17798
HATTIESBURG, MS, United States
03-Jan-2007
1477026367 LAUREN ROBERTS Nurse Anesthetist, Certified Registered 28 STONES THROW DR,
HATTIESBURG, MS, United States
03-Jan-2019
1124789136 ALICIA THORNTON Occupational Therapist 711 AVIGNON DR,
RIDGELAND, MS, United States
03-Jan-2022
1851448708 CUSTOMIZED PHYSICAL THERAPY Clinic/Center, Physical Therapy 702 HILLENDALE DR,
HATTIESBURG, MS, United States
04-Jan-2007
1760786776 MEDI QUIP SUPPLY Durable Medical Equipment & Medical Supplies 5057 HWY 42 E.,
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05-Jan-2011
1548777147 JUSTIN SCOTT SMITH Nurse Anesthetist, Certified Registered 415 S 28TH AVE,
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04-Jan-2018
1346838588 VALERIE AIKENS Counselor 4100 MAMIE ST,
HATTIESBURG, MS, United States
04-Jan-2021
1841888096 MARIA BEACH Counselor, Mental Health 4100 MAMIE ST,
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1912595166 SHAWNKITA EVERETT Registered Nurse 4100 MAMIE ST,
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04-Jan-2021
1821687732 KIMALA FLOWERS Counselor, Mental Health 4100 MAMIE ST,
HATTIESBURG, MS, United States
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1033707294 DANIELLE PORTER Counselor, Mental Health 4100 MAMIE ST,
HATTIESBURG, MS, United States
04-Jan-2021
1467040626 JUDY SANDERSON Registered Nurse 4100 MAMIE ST,
HATTIESBURG, MS, United States
04-Jan-2021
1174111330 BILLY SANSON Counselor, Professional 4100 MAMIE ST,
HATTIESBURG, MS, United States
04-Jan-2021

FAQs

Whose NPI Number is 1225030372?

1225030372 is the NPI number of NORMAN BLAKE MOORE.

What is the specialty for NORMAN BLAKE MOORE?

The Specialty of NORMAN BLAKE MOORE is Nurse Anesthetist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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