Organization Active NPI

Terence E. Moore

  • Primary Care Clinic/Center
  • Ford City, PA
National Provider Identifier
1114953247
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD039455L Issued in PR
Legal business name
TERENCE E. MOORE
Practice address
710 4TH Ave
Ford City, PA 16226-1103
Phone
(724) 763-3251
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Dr. Terence E Moore, M.D.
Title
M.D.
Phone
(724) 763-3251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD039455L PR Primary

Addresses

Primary practice location

710 4TH Ave
Ford City, PA 16226-1103

Mailing address

710 4TH Ave
Ford City, PA 16226-1103
Phone (724) 763-3251

Other identifiers 2

IdentifierTypeStateIssuer
0010047480002MedicaidPA
516724OtherPABLUE SHIELD PROV NUMBER

Other names 1

  • Family Medical Care Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1114953247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 4TH AVE",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261103",
            "telephone_number": "724-763-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 4TH AVE",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261103",
            "telephone_number": "724-763-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERENCE E. MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "724-763-3251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "MD039455L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010047480002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV NUMBER",
            "identifier": "516724",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ford City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.