MR. OTHA MOORE (NPI# 1275902132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275902132 |
Entity Type | Individual |
Full Name | MR. OTHA MOORE |
Practice Address |
18430 Westhampton Southfield MI 48075 |
Mailing Address |
18430 Westhampton Ave Southfield MI 48075-4116 |
Practice Telephone | 3138441496 |
Mailing Telephone | 3138441496 |
Enumeration Date | 2015-09-22 |
Last Update Date | 2015-09-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 302F00000X | Exclusive Provider Organization | 7153185 | MI | Managed Care Organizations |
Street Address |
18430 WESTHAMPTON |
City | SOUTHFIELD |
State | MI |
Zip Code | 48075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
Find all providers in zip 48075 |
Taxonomy Code | 302F00000X |
Grouping | Managed Care Organizations |
Classification | Exclusive Provider Organization |
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518375294 | Mind Trust Counseling and Consulting Services,pc | Exclusive Provider Organization | 16250 Northland Dr Ste 115, Southfield, MI 48075-5221 | 2014-07-26 |
1598936601 | Total Living Home Health Care Service, Inc. | Exclusive Provider Organization | 17697 W 10 Mile Rd, Southfield, MI 48075-2727 | 2008-03-17 |
1417481789 | Bose Ogbeifun | Exclusive Provider Organization | 15565 Northland Dr W, Southfield, MI 48075-5303 | 2017-04-13 |
1588078943 | Magnum Management Inc. | Exclusive Provider Organization | 17600 W 8 Mile Rd, Suite 7, Southfield, MI 48075-4305 | 2014-06-13 |
1679721120 | Friends of Vision Interpersonal Services | Exclusive Provider Organization | 17500 Northland Park Ct, Southfield, MI 48075-4324 | 2008-09-08 |
1346432184 | Pavilion Family Practice PC | Exclusive Provider Organization | 23077 Greenfield Rd, Suite 195, Southfield, MI 48075-3709 | 2007-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902333263 | Sisters of Sobriety | Exclusive Provider Organization | 5398 Pierce Rd, Remus, MI 49430 | 2017-05-17 |
1952837163 | Genuine Care Services LLC | Exclusive Provider Organization | 400 Renaissance Center Suite 2600, Detroit, MI 48243 | 2017-05-08 |
1013457308 | Affordable Care Consulting, LLC | Exclusive Provider Organization | 28709 Dequinred Rd, Suite 2, Madison Heights, MI 48071 | 2017-03-06 |
1548708654 | Mother & Child Mihp of Michigan, Inc. | Exclusive Provider Organization | 1457 South Oakland, St Clair, MI 48079 | 2017-02-09 |
1073051264 | Creekside Manor | Exclusive Provider Organization | 17460 12 Mile Rd, Big Rapids, MI 49307-9554 | 2017-02-07 |
1144672676 | God's Precious Treasures II | Exclusive Provider Organization | 22805 Goddard Rd, Taylor, MI 48180-4170 | 2016-07-08 |
1043662422 | Robin Marie Lepper | Exclusive Provider Organization | 530 W Chicago St, Coldwater, MI 49036-1873 | 2016-07-08 |
1427403831 | Intense Holistic Healing Hands | Exclusive Provider Organization | 8245 Valley View Cir Apt 132c, Westland, MI 48185-5511 | 2016-05-04 |
1295180834 | Natures Natural Mobile Spa | Exclusive Provider Organization | 3008 Marlborough St, Detroit, MI 48215-2536 | 2016-05-02 |
1003270026 | Kiss Kissable Kids LLC | Exclusive Provider Organization | 32461 Schoolcraft Rd, Livonia, MI 48150-4300 | 2016-04-06 |
Find all providers with the same taxonomy |
City | SOUTHFIELD |
Zip Code | 48075 |
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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.