Individual
DR. JAMES T. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D61840
MD
2086S0120X
Pediatric Surgery Physician
Primary
D61840
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094
CAREFIRST REGIONAL
MD
01
—
1703271
UNITED HLTHCARE
MD
01
—
2125712
MDIPA
MD
01
—
243678
KAISER
MD
01
—
2458751
UNITED HLTHCARE NATIONAL
MD
05
—
405966200
—
MD
01
—
64280701
BLUE SHIELD
MD
01
—
88880
GEISINGER
MD
Enumeration date
07/26/2006
Last updated
09/19/2019
Update your record
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