Organization
MATTHEW D MOORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW D MOORE M.D. (OWNER)
(937) 429-9683
Entity
Organization
Contact information
Practice address
2141 NORTH FAIRFIELD ROAD, SUITE C, BEAVERCREEK, OH 45431-2579
(937) 429-9683
(937) 429-9729
Mailing address
2141 NORTH FAIRFIELD ROAD, SUITE C, BEAVERCREEK, OH 45431-2579
(937) 429-9683
(937) 429-9729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35055799M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281392
ANTHEM
OH
05
—
0671983
—
OH
01
—
2060101
UHC
OH
Enumeration date
10/31/2007
Last updated
10/31/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us