DR. WESLEY MOORE (NPI# 1053792069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053792069 |
| Entity Type | Individual |
| Full Name | DR. WESLEY MOORE |
| Credential | D.O. |
| Practice Address |
145 Lincoln Dr Hodgenville KY 42748-9706 |
| Practice Telephone | 2709793241 |
| Practice Fax Number | 2707061920 |
| Mailing Telephone | 2709793241 |
| Mailing Fax Number | 2707061920 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2020-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04255 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316136823 | Wesley Dale Moore | Chiropractor | 405 Cooper Dr, Clinton, NC 28328-2817 | 2007-10-20 |
| 1588091540 | Wesley Moore | Registered Nurse | 550 Peachtree St Ne, 3304, Atlanta, GA 30308-2208 | 2013-10-04 |
| 1023382694 | Wesley Moore | Chiropractor | 505 W Northern Lights Blvd, Anchorage, AK 99503-2552 | 2012-02-29 |
| 1497936512 | Wesley E Moore | Counselor | 3701 Lansdowne Dr, Ashland, KY 41102 | 2007-11-16 |
| 1740303213 | Wesley Boyd Moore | Preventive Medicine | 425 5th Ave N, 5th Floor, Cordell Hull Building, Nashville, TN 37243-0001 | 2007-04-09 |
| 1053335133 | Wesley S Moore | Surgery | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-6908 | 2006-07-26 |
| Street Address |
145 LINCOLN DR |
| City | HODGENVILLE |
| State | KY |
| Zip Code | 42748-9706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285868695 | Hodgenville Clinic | Family Medicine | 207 W. Main St., Hodgenville, KY 42748 | 2009-05-13 |
| 1013015361 | Khue N Tran | Internal Medicine | 207 West Main Street, Hodgenville, KY 42748 | 2006-09-20 |
| 1912910027 | Smith Drug Co, Inc | Durable Medical Equipment & Medical Supplies | 104 N Lincoln Blvd, Hodgenville, KY 42748 | 2006-08-14 |
| 1386661049 | Larue County County Treasurer | Ambulance | 924 S Lincoln Blvd, Hodgenville, KY 42748 | 2006-07-17 |
| 1821515966 | Nakiia Robeson | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42748 | 2017-08-29 |
| 1487900544 | Brittain Cole Jackson | Pharmacist | 117 Lincoln Dr, Hodgenville, KY 42748 | 2012-07-26 |
| 1457333056 | Lincoln Trail Dist Health Dept | Public Health or Welfare | 215 E Main St, Hodgenville, KY 42748 | 2005-11-18 |
| 1013981877 | Alice A Burton | Physical Therapist | 632 S Lincoln Blvd, Physical Therapy Associates, Hodgenville, KY 42748-1051 | 2006-02-16 |
| 1851307193 | Denise Whiteman | Physical Therapist | 632 S Lincoln Blvd, Hodgenville, KY 42748-1051 | 2006-07-31 |
| 1962929273 | Micheala Jade Benningfield | Counselor | 604 Beechtree St, Hodgenville, KY 42748-1206 | 2017-08-28 |
| Find all providers in zip 42748 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285868695 | Hodgenville Clinic | Family Medicine | 207 W. Main St., Hodgenville, KY 42748 | 2009-05-13 |
| 1285685602 | Steven H Preston | Family Medicine | 207 W Main St, Hodgenville, KY 42748-1559 | 2006-05-12 |
| 1730738444 | Hodgenville Clinic | Family Medicine | 207 West Main Street, Hodgenville, KY 42748-1559 | 2019-09-05 |
| 1164523106 | Arvil Glenn Catlett | Family Medicine | 207 W Main St, Hodgenville, KY 42748-1559 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | HODGENVILLE |
| Zip Code | 42748 |
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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.