MB Moore MD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MB MOORE MD

Practice address

223 Physicians Park
Poplar Bluff, MO 63901-3956

Phone

(573) 785-4731

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

MB Moore

Title

Physician Owner

Phone

(573) 785-4731

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1073775680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3907",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639023907",
            "telephone_number": "573-785-4601",
            "fax_number": "573-686-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 PHYSICIANS PARK",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013956",
            "telephone_number": "573-785-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB MOORE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MB",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "573-785-4731"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "627234909",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Rae Maxwell, LCSW
• Kelly Maxwell, PHARMD
• Kaitlee Jade Mayabb
• Steven Kelly Mayse
• Starla Maze
• Kaylea Rae McAlister, FSP
• Jessica Nicole McCain, FNP-BC
• Makala C McCauley, LCSW
• Candace McCollough
• Terrell McCollough, LPN

• Durable Medical Equipment & Medical Supplies in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.