MOORE PRIMARY CARE (NPI# 1578854576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578854576 |
| Entity Type | Organization |
| Organization Name | MOORE PRIMARY CARE |
| Practice Address |
1400 Se 4th St Suite H Moore OK 73160-7329 |
| Practice Telephone | 4057997400 |
| Practice Fax Number | 4057997405 |
| Mailing Telephone | 4057997400 |
| Mailing Fax Number | 4057997405 |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |
| Authorized Official Name | RANDALL CARTER (PA-C) |
| Authorized Official Telephone | 4057997400 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200079670A | 05 |
| Street Address |
1400 SE 4TH ST SUITE H |
| City | MOORE |
| State | OK |
| Zip Code | 73160-7329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063536233 | Moore Primary Care Inc | Family Medicine | 1400 Se 4th St, Ste H, Moore, OK 73160-7328 | 2007-03-16 |
| 1356955017 | Joe Khong | Counselor | 1400 Se 4th St, Moore, OK 73160-7329 | 2020-09-01 |
| 1811308356 | Moore Family Medicine Associates Aprn-cnp, PC | Family Medicine | 1400 Se 4th St, Ste D, Moore, OK 73160-7329 | 2014-05-19 |
| 1003227547 | Moore Primary Care Geriatrics Aprn-cnp, PC | Family Medicine | 1400 Se 4th St, Ste C, Moore, OK 73160-7329 | 2014-05-19 |
| 1124448956 | Michael Ross Dunn | Counselor | 1400 Se 4th St, Moore, OK 73160-7329 | 2014-04-19 |
| 1659618569 | Maryam Butler | Physician Assistant | 1400 Se 4th St, Suite H, Moore, OK 73160-7329 | 2013-01-11 |
| 1558620922 | Rebecca Kathleen Carter | Nurse Practitioner | 1400 Se 4th St, Suite H, Moore, OK 73160-7329 | 2012-05-04 |
| 1447521539 | Sasa K Jackson | Physician Assistant | 1400 Se 4th St, Ste H, Moore, OK 73160-7329 | 2012-01-20 |
| 1871863712 | Kay B Rochester | Physician Assistant | 1400 Se 4th St, Suite H, Moore, OK 73160-7329 | 2012-01-10 |
| 1104116508 | Carters Drug Inc | Pharmacy | 1400 Se 4th St, Suite H, Moore, OK 73160 | 2011-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1104379148 | Moore Care LLC | Clinic/Center | 400 N Eastern Ave, Suite B, Moore, OK 73160-5833 | 2016-07-26 |
| 1174745830 | Rodney J. Miles, M.d., Inc. | Clinic/Center | 520 S Telephone Rd, Suite 110, Moore, OK 73160-5423 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476654 | Team Clinic Management Partners LLC | Clinic/Center | 372 N Cobb, Caney, OK 74533 | 2020-10-29 |
| 1184222705 | Essential Md, Pllc | Clinic/Center | 6316 E 102nd St Ste 100, Tulsa, OK 74137-7061 | 2020-10-15 |
| 1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
| 1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
| 1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
| 1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
| 1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
| 1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
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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.