Moore, Amy Marcelle
Moore, Amy Marcelle is an individual health care provider with primary practice located at 915 Olentangy River Rd , Columbus OH 43212-3153. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Moore, Amy Marcelle can be contacted via phone (614) 293-8566.Contact Information
Primary practice address
915 Olentangy River Rd
Columbus OH 43212-3153
Phone: (614) 293-8566
Fax: (614) 293-3381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 35138310 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 2007030788 | Missouri |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 2007030788 | Missouri |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 35138310 | Ohio |
Profile Details
| NPI number | 1538381462 |
|---|---|
| LBN Legal business name | Moore, Amy Marcelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Mar 1st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538381462 | NPPES |
| Ohio | Other | H777590 | MEDICARE-OSU PLASTIC SURGERY, LLC |
| Ohio | MEDICAID | 0390307 | MEDICARE-OSU PLASTIC SURGERY, LLC |
| Ohio | Other | H777592 | MEDICARE-OSU PLASTIC SURGERY, LLC |
| Ohio | Other | H777591 | MEDICARE-OSU PLASTIC SURGERY, LLC |
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