DR. CHARLES S MOORE (NPI# 1902877012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902877012 |
| Entity Type | Individual |
| Full Name | DR. CHARLES S MOORE |
| Credential | MD |
| Practice Address |
20 The Legends Pkwy Eureka MO 63025-3801 |
| Practice Telephone | 6365490101 |
| Practice Fax Number | 6365490101 |
| Mailing Telephone | 6365490101 |
| Mailing Fax Number | 6365490101 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2013017434 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 23555 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200045550A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841790995 | Charles Edward Moore II | Case Manager/Care Coordinator | 2024 Te Ata Drive, Ada, OK 74820 | 2018-02-15 |
| 1114336310 | Charles Moore | Dentist | 1710 Trolley Rd Ste B, Summerville, SC 29485-8281 | 2014-08-13 |
| 1467620799 | Charles Robert Moore | Anesthesiology | 6129 Cottage Dr, Haslett, MI 48840-8939 | 2008-02-20 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1346452620 | Charles Maurice Moore | Counselor | 1516 Kelly Ct, Conover, NC 28613-7801 | 2007-05-07 |
| 1649497561 | Charles E Moore | Specialist | 1210 Miccosukee Rd, Tallahassee, FL 32308-5076 | 2007-04-20 |
| 1215053426 | Charles Robert Moore | Ophthalmology | 926 N Wilcrest Dr, Houston, TX 77079-3504 | 2007-03-21 |
| 1629020011 | Charles Henry Moore | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-05-16 |
| 1629038609 | Charles Edward Moore Jr. | Family Medicine | 2407 Helton Dr Ste B, Florence, AL 35630-1067 | 2006-03-24 |
| 1003816372 | Charles A Moore | Internal Medicine | 123 N 19th St, Suite 201, Middlesboro, KY 40965-2865 | 2005-07-28 |
| Street Address |
20 THE LEGENDS PKWY |
| City | EUREKA |
| State | MO |
| Zip Code | 63025-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316329600 | Sarah Winkeler | Internal Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2015-06-23 |
| 1619288719 | Anjani Janak Urban | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2010-06-23 |
| 1982927331 | Patients First Health Care LLC | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3821 | 2010-03-11 |
| 1649459215 | Ssm Medical Group | Clinic/Center | 20 The Legends Pkwy, Suite 100, Eureka, MO 63025-3821 | 2007-10-30 |
| 1972793610 | Gateway Spine LLC | Orthopaedic Surgery | 20 The Legends Pkwy, Eureka, MO 63025-3821 | 2007-07-30 |
| 1598804155 | Orthopedic Specialists, PC | Orthopaedic Surgery | 20 The Legends Pkwy, Suite 100, Eureka, MO 63025-3818 | 2007-02-06 |
| 1831283894 | Tammy L. Prewitt | Nurse Practitioner | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-10-03 |
| 1538264205 | John J Dubois | Internal Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-09-14 |
| 1992735237 | Robert Bradley Michaels | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1740439199 | Kristi A Moore | Internal Medicine | 20 The Legends Parkway, Eureka, MO 63025 | 2008-09-10 |
| 1356508758 | Michael W. Noble, Dmd, PC | Dentist | 60 East North Street, Eureka, MO 63025 | 2008-05-22 |
| 1265640973 | Christopher A Michalek | Social Worker | 643 Vista Hills Ct, Eureka, MO 63025 | 2007-05-18 |
| 1396966883 | Mitzi S Pasch | Social Worker | 1 Hilltop Village Center, Ste. 3a, Eureka, MO 63025 | 2007-05-01 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| Find all providers in zip 63025 | ||||
| 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 |
|---|---|---|---|---|
| 1497257281 | Primary Care of Cedar Hill LLC | Family Medicine | 103 Hilltop Village Center Dr, Eureka, MO 63025-1108 | 2018-03-07 |
| 1124407341 | Basham Clinic, P.a. | Family Medicine | 100 E 16th St, Eureka, KS 67045-1067 | 2015-05-20 |
| 1669780433 | Jason Wayne Defluiter | Family Medicine | 1343 Highway 93 North, Eureka, MT 59917-9503 | 2010-09-15 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| 1285780916 | Douglas Wilson Wimer | Family Medicine | 2504 Harrison Ave Ste A, Eureka, CA 95501-3221 | 2007-01-26 |
| 1083775373 | Scott Louis Sattler | Family Medicine | 2466 Russell St, Eureka, CA 95503-5648 | 2006-12-12 |
| 1477647287 | Laurence Eugene Badgley | Family Medicine | 2504 Harrison Avenue, Suite B, Eureka, CA 95501 | 2006-10-03 |
| 1629173398 | David Lawrence Pittenger | Family Medicine | 97 Hill Top Village Center, Suite E & F, Eureka, MO 63025-1184 | 2006-09-14 |
| 1881601615 | Gregory S Holst | Family Medicine | 2675 Harris Street, Eureka, CA 95503 | 2006-08-02 |
| 1477589323 | Willard Merrell Hunter | Family Medicine | 2412 Buhne St, Eureka, CA 95501-3207 | 2006-06-23 |
| Find all providers in EUREKA | ||||
Please comment or provide details below to improve the information on DR. CHARLES S MOORE.
| 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.