DR. ROBERT KEVIN MOORE (NPI# 1477557221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477557221 |
| Entity Type | Individual |
| Full Name | DR. ROBERT KEVIN MOORE |
| Credential | M.D. |
| Practice Address |
3330 Nw 56th St Fl 400 Oklahoma City OK 73112-4426 |
| Practice Telephone | 4059454220 |
| Practice Fax Number | 4059454893 |
| Mailing Telephone | 4059454220 |
| Mailing Fax Number | 4059454893 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 16131 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868294 | Robert John Moore | Social Worker | 1633 Fairmount Ave, Philadelphia, PA 19130-2352 | 2019-06-02 |
| 1124683685 | Robert Hart Moore | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency 980118, 1250 E. Marshal Street, Richmond, VA 23298-0118 | 2019-05-09 |
| 1205354511 | Robert Lee Moore | Student in an Organized Health Care Education/Training Program | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-07 |
| 1083091201 | Robert Moore | Specialist/Technologist | 11600 Mary Catherine Dr, Clinton, MD 20735-1040 | 2015-04-27 |
| 1497150015 | Robert Moore | Audiologist | Dept of Speech Pathology and Audiology, Hahn 1119, University of South Alabama, Mobile, AL 36688-0001 | 2014-10-24 |
| 1780020388 | Robert R Moore | Counselor | 88 Beckwith Dr, Galesburg, MI 49053-9604 | 2013-05-22 |
| 1114262581 | Robert Daniel Moore | Hearing Instrument Specialist | 1911 S Main Street, Corbin, KY 40701 | 2012-12-11 |
| 1487918413 | Robert Wallace Moore Jr. | Orthopaedic Surgery | 4563 Landfall Ct, Destin, FL 32541-5313 | 2012-06-25 |
| 1972804102 | Robert Stephen Moore | Pharmacist | 671 Rancho Santa Fe Road, San Marcos, CA 92078-3973 | 2010-11-04 |
| 1942539978 | Robert Andrew Moore | Family Medicine | 11848 Goshen Ave, 301, Los Angeles, CA 90049-6336 | 2009-12-22 |
| Street Address |
3330 NW 56TH ST FL 400 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697761 | Georgianne M Snowden | Radiology | 3330 Nw 56th St, Ste 206, Oklahoma City, OK 73112-4426 | 2005-05-24 |
| 1013444298 | Essential Integrative Health Pllc | Phlebology | 3330 Nw 56th St, Suite 612, Oklahoma City, OK 73112-4479 | 2017-05-18 |
| 1093165227 | Kourtney Peterson | Registered Nurse | 3330 Nw 56th St, Suite 208, Oklahoma City, OK 73112-4479 | 2016-06-19 |
| 1548615081 | Tricia Strahorn | Dietitian, Registered | 3330 Nw 56th St, Suite 106, Oklahoma City, OK 73112-4479 | 2016-05-03 |
| 1972963353 | Frontier Health Services, LLC | Internal Medicine | 3330 Nw 56th St, Oklahoma City, OK 73112-4479 | 2016-02-29 |
| 1114394251 | Shamika Mack | Nurse Practitioner | 3330 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4479 | 2015-08-24 |
| 1114300316 | Matthew Munda | Nurse Practitioner | 3330 Nw 56th St, Suite 612, Oklahoma City, OK 73112-4479 | 2015-07-07 |
| 1689070047 | Dr. Scott L. Shields, P.C. | Podiatrist | 3330 Nw 56th St, Suite 600, Oklahoma City, OK 73112-4479 | 2014-11-13 |
| 1649672031 | Ashton Nicole Miller | Registered Nurse | 3330 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4479 | 2014-09-17 |
| 1053712737 | David G. Wade Dpm Pllc | Podiatrist | 3330 Nw 56th St, #600, Oklahoma City, OK 73112-4479 | 2014-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 |
|---|---|---|---|---|
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1851868863 | Okc Kids Urology Pllc | Pediatrics | 3705 Nw 63rd St Ste 211, Oklahoma City, OK 73116-1937 | 2018-10-28 |
| 1700380268 | Katherine Ann Brashears | Pediatrics | 6628 Fawn Canyon Dr, Oklahoma City, OK 73162-6759 | 2018-03-20 |
| 1649650920 | Amber Chantell Landry | Pediatrics | 937 Sw 89th St Ste A, Oklahoma City, OK 73139-9231 | 2015-06-02 |
| 1346628856 | Ankur Rughani | Pediatrics | 1200 Childrens Ave # 65532, Oucp 14000 A2, Oklahoma City, OK 73104-4637 | 2015-05-15 |
| 1629456124 | Nicholas Scott Peterson | Pediatrics | 1200 Childrens Ave Ste 12200, Oklahoma City, OK 73104 | 2015-05-15 |
| 1467848044 | Matthew Le | Pediatrics | 1200 Childrens Ave Ste 12300, Oklahoma City, OK 73104-4637 | 2015-04-10 |
| 1295140721 | Monica Wardwell Fogarty | Pediatrics | 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104-4637 | 2014-06-23 |
| 1912311200 | Melissa Jane Muhlinghause | Pediatrics | 4140 W Memorial Rd Ste 413, Oklahoma City, OK 73120 | 2014-06-16 |
| 1023364890 | Aswathy Kumar Vaikom House | Pediatrics | Ou Childrens Hospital, 1200 Everett Dr., Oklahoma City, OK 73104 | 2012-07-31 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.