NPIMap

Organization Active NPI

Robert R Moore MD PHD PC

  • Internal Medicine Physician
  • N Falmouth, MA
National Provider Identifier
1063619823
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75016 Issued in MA
Legal business name
ROBERT R MOORE MD PHD PC
Practice address
4 Edgerton Dr
N Falmouth, MA 02556-2820
Phone
(508) 564-5084
NPI assigned
Jun 27, 2007
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Sheila Souza
Title
Billing Agengy Ceo
Phone
(508) 548-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 75016 MA Primary

Addresses

Primary practice location

4 Edgerton Dr
N Falmouth, MA 02556-2820

Mailing address

PO Box 905
Falmouth, MA 02541-0905

National Provider Directory

National Provider Directory

Locations

19 Steeple St
Mashpee, MA 02649
Phone (508) 477-4400

4 Edgerton Dr
North Falmouth, MA 02556
Phone (508) 564-5084

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1063619823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025410905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EDGERTON DR",
            "city": "N FALMOUTH",
            "state": "MA",
            "postal_code": "025562820",
            "telephone_number": "508-564-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R MOORE MD PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "BILLING AGENGY CEO",
        "authorized_official_telephone_number": "508-548-8989"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "75016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.