Nathan L Moore, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20167 Issued in KY

Practice address

22 Clinic Drive
Paris, KY 40361

Phone

(859) 987-0074

Fax

(859) 987-0098

NPI assigned

Aug 18, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19475/brand/10/csg/41/fhir/r4

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

• Vohra Post Acute Care Physicians of the East, PA

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1063848968

  KY

  Medicare reassignment NPD
• Bluegrass Medical Clinic PLLC

  • Family Medicine Physician
  • Paris, KY
  • NPI 1902910722
  NPD Authorized official
• Bourbon Physician Practice LLC

  • Family Medicine Physician
  • Paris, KY
  • NPI 1790195717
  Medicare reassignment
• Bourbon Physician Practice LLC

  • Rural Health Clinic/Center
  • Carlisle, KY
  • NPI 1356689079
  NPD
• Marshall Emergency Services Associates, PLLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1891737185
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1093829822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CLINIC DRIVE",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "40361",
            "telephone_number": "859-987-0074",
            "fax_number": "859-987-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CLINIC DRIVE",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "40361",
            "telephone_number": "859-987-0074",
            "fax_number": "859-987-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NATHAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "20167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64201676",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Mickey
• Katlyn Miller, DI
• Caitlyn Mink
• Madison Nicole Mitchell, OT R/L
• Lindsey Monroe
• Victory A Moore, MA, CPRP
• Kristyn Murphy, DMD
• Jennifer Myers, ARNP
• Myeyedr Optometry of Kentucky, PLLC
• Kristina Neda, D.M.D.

• Family Medicine Physician in Paris, KY
• Providers in Paris, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.