DR. ROBERT WILLARD MOORE (NPI# 1750363867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750363867 |
| Entity Type | Individual |
| Full Name | DR. ROBERT WILLARD MOORE |
| Credential | MD |
| Practice Address |
1498 Freedom Blvd Florence SC 29505-6077 |
| Practice Telephone | 8436762720 |
| Practice Fax Number | 8436762722 |
| Mailing Telephone | 8436762720 |
| Mailing Fax Number | 8436762722 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2016-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 14794 | SC | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
14794 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 147941 | 05 | |
| SC | MEDICARE ID | P00110451 | 01 |
| 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 |
1498 FREEDOM BLVD |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053380501 | Hand Surgery Associates | Orthopaedic Surgery | 1498 Freedom Blvd, Florence, SC 29505-6077 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538680004 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 300 Palmetto Health Pkwy Ste 200, Columbia, SC 29212-1762 | 2017-07-05 |
| 1255852901 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 Palmetto Health Pkwy Ste 320, Columbia, SC 29212-1756 | 2017-07-03 |
| 1295976967 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 8950 University Blvd., Ste 200, N Charleston, SC 29406 | 2009-03-10 |
| 1598906265 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2093 Henry Tecklenburg Dr Ste 200e, Charleston, SC 29414-5742 | 2009-03-10 |
| 1992754865 | Seraphin John Millon | Orthopaedic Surgery | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2006-05-09 |
| 1619945540 | David B. Fulton | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2006-03-08 |
| 1104448208 | Anmed Health | Orthopaedic Surgery | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2020-05-12 |
| 1346761897 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2017-07-05 |
| 1922529668 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 104 Saluda Pointe Dr, Lexington, SC 29072-7295 | 2017-07-03 |
| 1972054021 | Palmetto Health | Orthopaedic Surgery | 101 Business Park Blvd, 2nd Floor, Columbia, SC 29203-8401 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
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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.