Active NPI
Frank H Moore, MD
- Emergency Medicine Physician
- Anchorage, AK
National Provider Identifier
1104812825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1283
- Practice address
- 3200 Providence Dr
Anchorage, AK 99508-4661 - Phone
- (907) 261-3111
- Fax
- (907) 565-8066
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1283 | AK | Primary |
Addresses
Primary practice location
3200 Providence Dr
Anchorage, AK 99508-4661
Mailing address
3427 E Tudor Rd
Ste a
Anchorage, AK 99507-1282
Phone (907) 563-8005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD12831 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Eagle River Medical Clinic | Current | Accepting new patients | |
| Alaska Emergency Medicine Associates | Emergency Medicine | Current | Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
3427 E Tudor Rd
#A
Anchorage, AK 99507
11432 Business Blvd
Ste 4
Eagle River, AK 99577
Phone (907) 317-1703
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Anchorage, AK
- NPI 1568450476
-
- Family Medicine Physician
- Eagle River, AK
- NPI 1033277041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1104812825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3427 E TUDOR RD",
"address_2": "STE A",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071282",
"telephone_number": "907-563-8005",
"fax_number": "907-565-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PROVIDENCE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084661",
"telephone_number": "907-261-3111",
"fax_number": "907-565-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "FRANK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AK",
"license": "1283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD12831",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.