Moore Primary Care Geriatrics Aprn-CNP, PC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

MOORE PRIMARY CARE GERIATRICS APRN-CNP, PC

Practice address

1400 SE 4TH St
Ste C
Moore, OK 73160-7329

Phone

(405) 799-7400

NPI assigned

May 19, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rebecca Carter, ARNP

Title

Owner

Phone

(405) 799-7400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mandi Brooke Rhodes, PA-C

  • Medical Physician Assistant
  • Moore, OK
  • NPI 1114153293
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1003227547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SE 4TH ST",
            "address_2": "STE C",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE 4TH ST",
            "address_2": "STE C",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607329",
            "telephone_number": "405-799-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE PRIMARY CARE GERIATRICS APRN-CNP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-799-7400",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Med CNTR Clinic Phcy
• Moore Medical Center
• Moore Medical Center, LLC
• Moore Nursing Home Inc
• Moore Primary Care
• Moore Primary Care Inc
• Moore RX, LLC
• Moore SNF Operations, LLC
• Moore Youth & Family Services, Inc.
• Moore Youth and Family Services

• Geriatric Medicine (Family Medicine) Physician in Moore, OK
• Providers in Moore, OK by specialty
• Geriatric Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.