DR. RICHARD EUGENE MOORE (NPI# 1841309952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841309952 |
Entity Type | Individual |
Full Name | DR. RICHARD EUGENE MOORE |
Credential | M.D. |
Practice Address |
523 Harkrider St Conway AR 72032 |
Mailing Address |
3040 Westover Dr Conway AR 72032-8872 |
Practice Telephone | 5015046959 |
Practice Fax Number | 5013275963 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2018-07-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
35984 | MO | Allopathic & Osteopathic Physicians |
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
E9341 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HEALTHLINK | 178136 | 01 | |
MO | 201580115 | 05 | |
IL | 0280378073 | 05 | |
ARKANSAS BLUE CROSS | 5BG40 | 01 | |
MO | MEDICARE PART B | MA6957001 | 01 |
MO | BLUE CROSS BLUE SHIELD | 105181 | 01 |
AETNA | 4691938 | 01 | |
RAILROAD MEDICARE | P01625775 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1333 S Sam Houston Blvd Ste A, Houston, MO 654832046 | 4179671252 | 4179670417 |
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 |
1457481343 | Richard Charles Moore | Family Medicine | 309 East Spruce, Hailey, ID 83333-3530 | 2007-03-07 |
Street Address |
523 HARKRIDER ST |
City | CONWAY |
State | AR |
Zip Code | 72032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295731891 | Charles Clayton Lamey Jr. | Chiropractor | 523 Harkrider St, Conway, AR 72032-5631 | 2005-06-28 |
1659737120 | Richard E Moore Medical Pa | Anesthesiology | 523 Harkrider St, Conway, AR 72032-5631 | 2016-01-13 |
1942671177 | Pinnacle Pain Management Company | Specialist | 523 Harkrider St, Conway, AR 72032-5631 | 2015-10-14 |
1295166676 | E.p. Cortez Medical, Pa | Specialist | 523 Harkrider St, Conway, AR 72032-5631 | 2013-12-10 |
1720209448 | Adam B Lamey | Chiropractor | 523 Harkrider St, Conway, AR 72032-5631 | 2007-05-01 |
1326084781 | Lamey Chiropractic, Pa | Chiropractor | 523 Harkrider St, Conway, AR 72032-5631 | 2006-06-22 |
1184608754 | Tracy R Lamey | Nurse Practitioner | 523 Harkrider St, Conway, AR 72032-5631 | 2005-12-06 |
1124025234 | Jimmy Shawn Mcgehee | Chiropractor | 523 Harkrider St, Conway, AR 72032-5631 | 2005-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
Find all providers in zip 72032 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447518840 | Daniel Thornton Judkins | Anesthesiology | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2012-04-24 |
1760927404 | Arkansas Health Group | Anesthesiology | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2017-01-05 |
1659737120 | Richard E Moore Medical Pa | Anesthesiology | 523 Harkrider St, Conway, AR 72032-5631 | 2016-01-13 |
1457733057 | Conway Pain Clinic, Pllc | Anesthesiology | 2425 Prince St, Suite 3, Conway, AR 72034-3746 | 2015-06-19 |
1679831440 | Sheffield Kent | Anesthesiology | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2012-04-30 |
1508021569 | United Pain Care, Conway | Anesthesiology | 350 Salem Rd, Suite 6h, Conway, AR 72034-7525 | 2008-07-18 |
1871532820 | Ar Anesthesia & Pain Management P A | Anesthesiology | 1080 Pats Ln, Conway, AR 72032-4754 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548879752 | Navdeep Dogra Md, Pllc | Anesthesiology | 1801 W 40th Ave Ste 2c, Pine Bluff, AR 71603-6957 | 2020-07-24 |
1548896798 | Arkansas Pain Centers Ltd | Anesthesiology | 1225 Breckenridge Dr Ste 106, Little Rock, AR 72205-1565 | 2020-03-19 |
1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
1952741233 | Aditi Saraswat | Anesthesiology | 30 Dundee Cv, Batesville, AR 72501-9777 | 2013-07-01 |
1942645205 | Andrew Gunter Cain | Anesthesiology | 9101 Kanis Rd Ste 150a, Little Rock, AR 72205-6456 | 2013-04-30 |
1861753709 | Nicholas Benjamin Camp | Anesthesiology | 2900 Medical Center Pkwy Ste 110, Bentonville, AR 72712-3212 | 2012-06-07 |
1598970782 | Ross E. Woody | Anesthesiology | 4323 Jefferson, Texarkana, AR 71854 | 2007-05-11 |
1699828186 | Brent R Weilert | Anesthesiology | 3336 North Futrall Drive, Fayetteville, AR 72703 | 2007-01-19 |
1780743732 | Interventional Pain Consultants, Pa | Anesthesiology | 5106 Mcclanahan Dr, Suite B, North Little Rock, AR 72116-7051 | 2006-12-06 |
1528078490 | William E Ackerman | Anesthesiology | 1701 Centerview Dr, Suite 200, Little Rock, AR 72211-4308 | 2006-08-09 |
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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.