Robert K Moore, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301029450 Issued in MI

Practice address

28341 Hoover Rd
Warren, MI 48093-4151

Phone

(586) 751-8890

Fax

(586) 751-1103

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1144219684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28341 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934151",
            "telephone_number": "586-751-8890",
            "fax_number": "586-751-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28341 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934151",
            "telephone_number": "586-751-8890",
            "fax_number": "586-751-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301029450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1666313",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0500002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• India R Mooney, MA, LPC
• Mary Moore-Butler
• Dominique Eunice Moore, LLC
• Hope Dawn Moore, LLPC
• Katia Moore
• Tiara Moore
• Robert I Moretsky, D.O.
• Catherine Moritz, LMSW
• Thomas Morneau II, DPT
• Morning Star Dental

• Cardiovascular Disease Physician in Warren, MI
• Providers in Warren, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.