NPIMap

Individual provider Active NPI

Franklin Scott Moore, D.O.

  • Internal Medicine Physician
  • South Charleston, WV
National Provider Identifier
1013931443
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1690 Issued in WV
Practice address
4501 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1444
Phone
(304) 768-0700
Fax
(304) 768-9790
NPI assigned
Jul 27, 2006
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1690 WV Primary

Addresses

Primary practice location

4501 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1444

Mailing address

4501 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1444
Phone (304) 768-0700

Other identifiers 2

IdentifierTypeStateIssuer
001721812OtherWVBC BS
0850003000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000145 WV Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Hospitalist 1153354709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Primary Care Associates PLLCGroup PAC ID 3072546621, 2 clinicians

Practice addresses (Care Compare)

3703 Teays Valley Rd
Unit B
Hurricane, WV 25526-9645
Phone (304) 768-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC Internal Medicine CurrentSince Dec 14, 2019 Accepting new patients
Prestige Primary Care Associates, PLLC Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients
South Charleston Primary Care Past Accepting new patients

Locations

3703 Teays Valley Rd
Unit B
Hurricane, WV 25526
Phone (304) 768-0700

4501 Maccorkle Ave SW
Ste 301
South Charleston, WV 25309
Phone (304) 768-0501

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1013931443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW",
            "address_2": "SUITE 301",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "304-768-0700",
            "fax_number": "304-768-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW",
            "address_2": "SUITE 301",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "304-768-0700",
            "fax_number": "304-768-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "FRANKLIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "1690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "001721812",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0850003000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.