DR. DWIGHT MELVYN MOORE (NPI# 1053412668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053412668 |
| Entity Type | Individual |
| Full Name | DR. DWIGHT MELVYN MOORE |
| Credential | M.D. |
| Practice Address |
1264 Wesley Dr Ste 402 Memphis TN 38116-6400 |
| Practice Telephone | 9013965577 |
| Practice Fax Number | 9013965585 |
| Mailing Telephone | 9013965577 |
| Mailing Fax Number | 9013965585 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 207V0000X | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3197960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140657 | Dwight Michael Moore | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3875 | 2020-10-08 |
| Street Address |
1264 WESLEY DR STE 402 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453720 | Jean-claude Loiseau | Surgery | 1264 Wesley Dr, Ste 304, Memphis, TN 38116-6400 | 2005-08-09 |
| 1033642285 | D Katrina Mitchell King | Nurse Practitioner | 1264 Wesley Dr, Suite 402, Memphis, TN 38116-6400 | 2017-04-05 |
| 1821534058 | Dr. Alim Khandekar Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1264 Wesley Dr, Suite 201, Memphis, TN 38116-6400 | 2017-01-11 |
| 1255602587 | Spg II LLC | Obstetrics & Gynecology | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2012-01-18 |
| 1770895591 | Methodist Specialty Physician Vi | Orthopaedic Surgery | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2010-07-09 |
| 1548580509 | Charlotte R Drake | Nurse Practitioner | 1264 Wesley Dr, Suite 501, Memphis, TN 38116-6400 | 2010-06-01 |
| 1255561874 | Maryland Hunter | Nurse Practitioner | 1264 Wesley Dr, Ste 402, Memphis, TN 38116-6400 | 2009-07-16 |
| 1396991832 | Memphis Retina, Pllc | Ophthalmology | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2008-08-15 |
| 1134386592 | Sharif Ashanti Abdus-salaam | Orthopaedic Surgery | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2008-05-21 |
| 1982897492 | Gastroenterology Consultants. P.C. | Specialist | 1264 Wesley Dr, Suite 602, Memphis, TN 38116-6400 | 2007-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043860448 | 901 Health, Pllc | Obstetrics & Gynecology | 3068 Covington Pike Ste 3, Memphis, TN 38128-5001 | 2019-09-17 |
| 1669860557 | Midsouth Healthcare Management | Obstetrics & Gynecology | 3249 W Sarazens Cir, Memphis, TN 38125-0807 | 2014-12-31 |
| 1104269745 | Abigail Y. Talbot | Obstetrics & Gynecology | 6215 Humphreys Blvd Ste 500, Memphis, TN 38120-2384 | 2013-04-13 |
| 1972863165 | Robin Morehead Taylor | Obstetrics & Gynecology | 6215 Humphreys Blvd Ste 100, Memphis, TN 38120-2382 | 2012-05-21 |
| 1417121013 | Dominique M Butawan-ali | Obstetrics & Gynecology | 6215 Humphreys Blvd., Ste 100, Memphis, TN 38120 | 2008-04-15 |
| 1972782670 | Ob Gyn Centers of Memphis,mpllc | Obstetrics & Gynecology | 1264 Wesley Dr Ste 402, Memphis, TN 38116-6447 | 2007-10-30 |
| 1699963249 | Stephen Eguabor Ehiremen | Obstetrics & Gynecology | 2900 Kirby Rd Ste 11, Memphis, TN 38119 | 2007-10-09 |
| 1902013238 | Carlos Zavala | Obstetrics & Gynecology | 1850 Poplar Crest Cv, Suite 105, Memphis, TN 38119-4877 | 2007-05-17 |
| 1578775359 | Laura B Haskins | Obstetrics & Gynecology | 6005 Park Ave Ste 430b, Memphis, TN 38119-5211 | 2007-05-04 |
| 1598892325 | Memphis Midsouth Obgyn Alliance P.C. | Obstetrics & Gynecology | 6215 Humprehys Blvd, Suite 400, Memphis, TN 38120 | 2007-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.