Harold Moores III, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301057697 Issued in MI

Practice address

440 Cobb St
Cadillac, MI 49601-2542

Phone

(231) 775-6076

Fax

(231) 775-0027

NPI assigned

May 1, 2006

Last updated

May 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ecs Western Michigan PC

  • Emergency Medicine Physician
  • Grand Rapids, MI
  • NPI 1992281000
  Medicare reassignment NPD
• Cadillac After Hours Clinic PLLC

  • Urgent Care Clinic/Center
  • Cadillac, MI
  • NPI 1588694442
  Authorized official Same address or phone
• Cadillac After Hours Continuing Care PLLC

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1538559539
  Authorized official Same address or phone
• Cadillac Emergency Physicians, P.C.

  • Emergency Medicine Physician
  • Cadillac, MI
  • NPI 1407942857
  Authorized official Same address or phone
• Reed City Emergency Associates PLLC

  • Emergency Medicine Physician
  • Reed City, MI
  • NPI 1346367042
  Authorized official Same address or phone
• Reed City Hospital Corporation

  dba Corewell Health Reed City Hospital Family Medicine

  • Rural Health Clinic/Center
  • Reed City, MI
  • NPI 1730280025
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1013975085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496010271",
            "telephone_number": "231-775-6076",
            "fax_number": "231-775-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012542",
            "telephone_number": "231-775-6076",
            "fax_number": "231-775-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORES",
        "first_name": "HAROLD",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301057697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104400127",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0F71000",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104134503",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104744745",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michelle Louise Morse, PHD, LP

• Emergency Medicine Physician in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.