Organization Active NPI

Moore Care Providers

  • Emergency Medical Services (Emergency Medicine) Physician
  • Carmel, IN
National Provider Identifier
1013219534
Registry record updated Dec 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
01063796A Issued in IN
Legal business name
MOORE CARE PROVIDERS
Practice address
13295 Illinois St
Carmel, IN 46032-3019
Phone
(317) 457-5995
NPI assigned
Dec 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2010

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

Authorized official

Name
Matthew Michalski
Title
Ceo
Phone
(317) 457-5995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X 01063796A IN Primary

Addresses

Primary practice location

13295 Illinois St
Carmel, IN 46032-3019

Mailing address

13295 Illinois St
Carmel, IN 46032-3019
Phone (317) 457-5995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291420800000",
    "number": "1013219534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13295 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323019",
            "telephone_number": "317-457-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13295 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323019",
            "telephone_number": "317-457-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-04",
        "last_updated": "2010-12-04",
        "status": "A",
        "authorized_official_last_name": "MICHALSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-457-5995"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IN",
            "license": "01063796A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2010; 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.