RICHARD CHARLES MOORE (NPI# 1457481343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457481343 |
| Entity Type | Individual |
| Full Name | RICHARD CHARLES MOORE |
| Credential | M.D. |
| Practice Address |
309 East Spruce Hailey ID 83333-3530 |
| Mailing Address |
Po Box 3530 Hailey ID 83333-3530 |
| Practice Telephone | 2085782089 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 44228 | MN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 6741 | MT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 E 34th St, Hibbing, MN 557462909 | 2183627100 | 2183627131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518494657 | Richard Moore I | Dentist | 2455 Cypress Village Dr, Benton, LA 71006-9119 | 2017-05-19 |
| 1902206733 | Richard Moore | Counselor | 1701 Walkus Ct, District Heights, MD 20747-1892 | 2014-08-29 |
| 1467722777 | Richard Moore | Internal Medicine | 7642 Forsyth Blvd, Clayton, MO 63105-3404 | 2012-01-03 |
| 1902192503 | Richard Anthony Moore II | Family Medicine | 3708 Mayfair St Ste 100, Durham, NC 27707-6223 | 2011-06-22 |
| 1497049704 | Richard Winfield Moore IIi | Pharmacist | 41800 Washington St Ste 113b, Bermuda Dunes, CA 92203-8153 | 2011-06-03 |
| 1023241015 | Richard Moore | Surgery | 333 City Blvd. West - Suite 705, Orange, CA 92868-3298 | 2009-08-25 |
| 1295966000 | Richard H. Moore I | Preventive Medicine | 123 S Park Dr, Brownwood, TX 76801-5917 | 2009-07-29 |
| 1386890572 | Richard L Moore | Dermatology | 6901 Medical View Lane, Zephyrhills, FL 33542-6648 | 2008-08-07 |
| 1588876247 | Richard Eugene Moore Jr. | Physical Therapist | 4416 Ivy Commons, Charlottesville, VA 22903-7123 | 2007-05-04 |
| 1164560843 | Richard Elliott Moore | Dentist | 2901 Brooks Street, Sapphire Dental Group PC, Missoula, MT 59801 | 2007-02-02 |
| Street Address |
309 EAST SPRUCE |
| City | HAILEY |
| State | ID |
| Zip Code | 83333-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1174010573 | Kh Counseling & Health Center, LLC | Social Worker | 409 N Main Street, Hailey, ID 83333 | 2018-04-20 |
| 1306126909 | Brad A Bjorsness | Pharmacist | 911 N. Main, Hailey, ID 83333 | 2011-08-26 |
| 1821384520 | Lee Pesky Learning Center | Local Education Agency (LEA) | 1060 Fox Acres Rd, Hailey, ID 83333 | 2011-06-22 |
| 1245478684 | Marlin Layne Felton | Pharmacist | 830 Deerfield Drive, Hailey, ID 83333 | 2009-01-22 |
| 1023230992 | Lawrence I Weiner | Psychiatry & Neurology | 202 Indian Creek Rd, Hailey, ID 83333 | 2007-05-02 |
| 1730308305 | Betty Lee Brooks | Counselor | 1811 Laurelwood Dr, Hailey, ID 83333 | 2007-04-24 |
| 1639231459 | Mary Ellen Oleary | Physical Therapist | 150 6th Ave, Hailey, ID 83333 | 2006-12-15 |
| 1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
| 1831268341 | Cynthia Kay Unger | Dentist | 219 S River, Hailey, ID 83333 | 2006-11-07 |
| Find all providers in zip 83333 | ||||
| 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 |
|---|---|---|---|---|
| 1841258621 | Donald Levin | Family Medicine | 21 E Maple St, Suite A, Hailey, ID 83333-4900 | 2006-05-02 |
| 1083842272 | Amy C Drumm | Family Medicine | 1450 Aviation Dr, Ste 100, Hailey, ID 83333-8785 | 2009-06-25 |
| 1982888756 | Family Practice Associates Pa Mid Level | Family Medicine | 21 E Maple St, Suite A, Hailey, ID 83333-8401 | 2007-12-28 |
| 1982620787 | Julie A Lyons | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-07-14 |
| 1184657686 | Family Practice Associates, Pa | Family Medicine | 21 E Maple St, Suite A, Hailey, ID 83333-8401 | 2006-07-08 |
| 1003852849 | Cortney A Vandenburgh | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-21 |
| 1164463964 | Lois Adrian | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-10 |
| 1235170713 | Lucinda Leigh Morse | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-08 |
| 1083653661 | Kathryn A Woods | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-06 |
| 1255387874 | Richard F. Paris | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-05-25 |
| Find all providers in HAILEY | ||||
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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.