Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johanna Catherine Moore, MD

Individual provider Emergency Medicine Physician · NPI 1366619108

Johanna Catherine Moore, MD is an Emergency Medicine in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2007, 19 years ago. Practices with Hennepin Healthcare System Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
19
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Park Ave South Hennepin County Medical Center Revenue Management
Minneapolis, MN 55415
Phone: (612) 873-3044
Fax: (612) 630-8242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 52841 (MN)

Record details

NPI number1366619108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2008
Last updated in NPPESOctober 19, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice Hennepin Healthcare System Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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