Eugene Field Moore, M.D., CFAAFP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD 2444 Issued in HI

Practice address

75-233 Nani Kailua Dr
Unit # 97
Kailua Kona, HI 96740-2033

Phone

(206) 915-9855

NPI assigned

Jan 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1073883807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-233 NANI KAILUA DR",
            "address_2": "UNIT # 97",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402033",
            "telephone_number": "206-915-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-233 NANI KAILUA DR",
            "address_2": "UNIT # 97",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402033",
            "telephone_number": "206-915-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EUGENE",
        "middle_name": "FIELD",
        "name_prefix": "Dr.",
        "credential": "M.D., CFAAFP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD 2444",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD 00004674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Montalva, APRN
• Hannah Montanye, PA-C
• Dana Lizabeth Moody, MFT
• Brenna Marie Moore, LMT
• David Moore, RPH
• Lei Awapuhi Moore
• Natalie Moore, LCSW
• April Eve Moran, LPC
• Colleen Moran, PT
• Elaine S Morrison, LMT

• Family Medicine Physician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.