DR. PAUL DEAN MOORE JR. (NPI# 1174575930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174575930 |
| Entity Type | Individual |
| Full Name | DR. PAUL DEAN MOORE JR. |
| Credential | MD |
| Practice Address |
7840 W 165th St Ste 210 Overland Park KS 66223 |
| Mailing Address |
7840 W 165th St Ste 210 Overland Park KS 66223-2993 |
| Practice Telephone | 9133732230 |
| Practice Fax Number | 9133730999 |
| Mailing Telephone | 9133732230 |
| Mailing Fax Number | 9133730999 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0430003 | KS | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 0430003 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100457270A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649661356 | Paul Lloyd Moore | Social Worker | 516 Ravenwood Dr, Indian Land, SC 29707-9690 | 2015-02-17 |
| 1558782995 | Paul Moore | Counselor | 900 S Giddings St., Visalia, CA 93277 | 2014-01-03 |
| 1639238264 | Paul T Moore | Dentist | 306 South Shady Ave., Damascus, VA 24236 | 2006-12-08 |
| 1912092156 | Paul Terrence Moore | Specialist | 8722 Greenville Ave, Bldg. E Suite 102, Dallas, TX 75243-7167 | 2006-10-04 |
| 1326002023 | Paul E Moore | Family Medicine | 110 3rd St Ste 250, Henderson, KY 42420-5802 | 2006-04-12 |
| 1417945700 | Paul Derek Moore | Family Medicine | 815 Cumberland St, Suite 205, Lebanon, PA 17042-5266 | 2005-10-11 |
| 1457906737 | Paul Benjamin Moore | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2019-08-05 |
| 1356841118 | Paul Edward Moore | Psychologist | 1221 Abrams Rd Ste 325, Richardson, TX 75081-5579 | 2018-02-19 |
| 1942688981 | Paul Moore | Nurse Anesthetist, Certified Registered | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-05-11 |
| 1659717163 | Paul Moore | Nutritionist | 108 Doctors Dr, Boone, NC 28607-5000 | 2013-05-13 |
| Street Address |
7840 W 165TH ST STE 210 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841264173 | Jennifer L. Schultz | Internal Medicine | 7840 W 165th St Ste 210, Overland Park, KS 66223-2993 | 2006-02-14 |
| 1336191287 | Michael Allen Greenfield | Internal Medicine | 7840 W 165th St Ste 210, Overland Park, KS 66223 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313566 | Midwest Orthopedic Network Kansas | Neuromusculoskeletal Medicine, Sports Medicine | 6500 W 143rd Street, Overland Park, KS 66223 | 2018-07-19 |
| 1073018446 | Davidson Family Chiropractic LLC | Chiropractor | 7951 West 160th Street, Suite 500, Overland Park, KS 66223 | 2018-03-28 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1417495797 | Eye Associates of South Overland Park | Optometrist | 8029 W 159th St., Overland Park, KS 66223 | 2017-02-07 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1679921902 | Jake Westley Davidson | Chiropractor | 7951 W 160th Street, Suite 500, Overland Park, KS 66223 | 2016-05-26 |
| 1356709281 | Peak Health, LLC | Physical Medicine & Rehabilitation | 7555 W 150th St Ste A, Overland Park, KS 66223 | 2016-02-06 |
| 1881068179 | Jalaleddin Zakeri | Chiropractor | 7504 W 156 St, Overland Park, KS 66223 | 2015-11-24 |
| 1972999688 | Karen Gell | Pharmacy Technician | 8101 West 151st Street, Overland Park, KS 66223 | 2015-04-09 |
| 1861812869 | Acute Spinal Rehab Pa | Chiropractor | 7555 W 150th Street, Overland Park, KS 66223 | 2014-04-17 |
| Find all providers in zip 66223 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245694181 | Alicia Christina Wolfe | Pediatrics | 12541 Foster St Ste 260, Overland Park, KS 66213-2301 | 2016-04-06 |
| 1467863498 | Allison Marie Hadley | Pediatrics | 8675 College Blvd Ste 100, Overland Park, KS 66210-1863 | 2014-05-13 |
| 1134473192 | James Joseph O'bryan | Pediatrics | 10815 W 104th St, Overland Park, KS 66214-3052 | 2012-10-30 |
| 1013278506 | Fred Fletcher Roberts | Pediatrics | 5610 W 131st Ter, Overland Park, KS 66209-2925 | 2012-05-31 |
| 1235413030 | Isaac J Kennedy | Pediatrics | 10500 Quivira Road, Pediatric Emergency Medicine, Overland Park, KS 66215 | 2011-09-28 |
| 1942339106 | Elizabeth Sorrells Peterson | Pediatrics | 7311 W 132nd St, Suite 190, Overland Park, KS 66213-1118 | 2007-03-05 |
| 1346259033 | Lauren Olson | Pediatrics | 5805 W 110th St, Overland Park, KS 66211 | 2006-08-05 |
| 1396771838 | Pediatric Care Specialists, Pa | Pediatrics | 12541 Foster, Suite 260, Overland Park, KS 66213-1324 | 2006-06-25 |
| 1194782854 | Lara Sullivan | Pediatrics | 14300 Metcalf Ave, Ste. 122, Overland Park, KS 66223-2987 | 2006-04-27 |
| 1194781187 | Marsha Dannenberg | Pediatrics | 6750 W 135th St, Overland Park, KS 66223-4802 | 2006-04-26 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66223 |
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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.