NPIMap

Individual provider Active NPI

Joseph Michael Moore, MD

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1104853142
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23398 Issued in OK
Practice address
7127 S Olympia Ave
Tulsa, OK 74132-1856
Phone
(918) 876-0521
Fax
(918) 876-0939
NPI assigned
Jun 26, 2006
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23398 OK
Internal Medicine Physician 207R00000X 23398 OK Primary

Addresses

Primary practice location

7127 S Olympia Ave
Tulsa, OK 74132-1856

Mailing address

701 Cedar Lake Blvd Ste 160
Oklahoma City, OK 73114-7818
Phone (405) 724-0574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000314 OK Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3678512266 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Oklahoma College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7127 S Olympia Ave
Xpress Wellness Urgent Care
Tulsa, OK 74132-1856
Phone (918) 665-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 16, 2007 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 21, 2023 Accepting new patients
St. John Physicians, Inc. Internal Medicine CurrentSince Jul 16, 2007 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 21, 2023 Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients
Ignite Medical Resort Bartlesville, LLC Past Accepting new patients
Skelly Operations LLC Past Accepting new patients
Franciscan Villa SNF Operations LLC Past Accepting new patients
Conhold of Ponca LLC Past Accepting new patients
Seminole Health Center LLC Past Accepting new patients
Omci Operations LLC Past Accepting new patients
Conhold of Owasso LLC Past Accepting new patients
Lightstar Emergency Physicians, PLLC Past Accepting new patients
Rha Stroud Inc Past Accepting new patients
Oai Operations LLC Past Accepting new patients
Conhold of Mannford LLC Past Accepting new patients
Williams Medical Group Practice, LLC PastSince Oct 21, 2025 Accepting new patients
Conhold of Catoosa LLC Past Accepting new patients
Conhold of Sand Springs, LLC Past Accepting new patients
Franciscan Villa LLC Past Accepting new patients
Phoenix Healthcare LLC Past Accepting new patients
JM Medical, LLC Internal Medicine PastSince Dec 1, 2019 Accepting new patients
Parks Edge Care Center Inc Past Accepting new patients
Ignite Medical Resort Tulsa, LLC Past Accepting new patients
Cearu, LLC Past Accepting new patients

Locations

527 W 6th St
Junction City, KS 66441
Phone (785) 530-5823

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

550 W Shawnee St
Muskogee, OK 74401
Phone (908) 910-5186

701 Cedar Lake Blvd
Ste 160
Oklahoma City, OK 73114

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

12451 E 100th St N
Owasso, OK 74055
Phone (918) 274-5000

1004 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 224-4280

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

7127 S Olympia Ave
Tulsa, OK 74132
Phone (918) 665-9500

Ownership & related parties

All facility ownership & control disclosures 38

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Franciscan VillaBroken Arrow, OK, CCN 375525 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Jun 1, 2025
Oklahoma Memory Care InstituteTulsa, OK, CCN 375468 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Jun 1, 2025
Colonial Manor Nursing HomeTulsa, OK, CCN 375465 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Jun 1, 2025
Carter Healthcare Hospice of Northeast Oklahoma LLCBixby, OK, CCN 371580 Hospice W-2 Managing Employee (10%) Dec 11, 2023
Williams Medical Group Practice, LLCMcAlester, OK, CCN 373893 Rural health clinic 5% Or Greater Direct Ownership Interest (51%) Aug 21, 2023
Xpress Wellness Urgent CareMiami, OK, CCN 373900 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareTulsa, OK, CCN 373902 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareLiberal, KS, CCN 703811 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareGarden City, KS, CCN 703816 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareMuskogee, OK, CCN 373897 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareEnid, OK, CCN 373890 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareJunction City, KS, CCN 703815 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareMuskogee, OK, CCN 373888 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareWoodward, OK, CCN 373885 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareAda, OK, CCN 373901 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareElk City, OK, CCN 373894 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareGuymon, OK, CCN 373892 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareChickasha, OK, CCN 373899 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareWeatherford, OK, CCN 373891 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareDuncan, OK, CCN 373896 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareGuthrie, OK, CCN 373895 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareShawnee, OK, CCN 373886 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareHutchinson, KS, CCN 703813 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareDodge City, KS, CCN 703812 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareAltus, OK, CCN 373898 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareShawnee, OK, CCN 373887 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CarePonca City, OK, CCN 373889 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareDurant, OK, CCN 373903 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareArdmore, OK, CCN 373904 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareEmporia, KS, CCN 703818 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareHaysville, KS, CCN 703817 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareJenks, OK, CCN 373905 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareSeminole, OK, CCN 373907 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareSallisaw, OK, CCN 373906 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareGlenpool, OK, CCN 373908 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareMannford, OK, CCN 373918 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareCollinsville, OK, CCN 373919 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareEdmond, OK, CCN 373920 Rural health clinic 5% Or Greater Direct Ownership Interest Aug 21, 2023

Owned or controlled facilities with NPI records 38

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 38

Organizations & group practices 25

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

View all 25

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1104853142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CEDAR LAKE BLVD STE 160",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147818",
            "telephone_number": "405-724-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 S OLYMPIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321856",
            "telephone_number": "918-876-0521",
            "fax_number": "918-876-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "23398",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "23398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.