Active NPI
Gregory J Moore, MD
- Emergency Medicine Physician
- Dillon, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 6607
- Practice address
- 600 Mt Highway 91 S
Dillon, MT 59725-7379 - Phone
- (406) 683-3051
- NPI assigned
- Oct 3, 2006
- 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 | 6607 | MT | Primary |
Addresses
Primary practice location
600 Mt Highway 91 S
Dillon, MT 59725-7379
Mailing address
90 Hwy 91 South
Dillon, MT 59725
Phone (406) 683-3051
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GMOORE214667@WM.PROVIDENCEDIRECT.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Ohio State University College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Mt Hwy 91 S
Dillon, MT 59725-7379
Phone (406) 683-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6607 | MT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steele Memorial Medical Center | Current | Accepting new patients | |
| Barrett Hospital Development Corporation | Current | Accepting new patients | |
| Steele Memorial Medical Center | Current | Accepting new patients | |
| Barrett Hospital Development Corporation | Current | Accepting new patients | |
| Madison Valley Hospital Inc | Past | Accepting new patients | |
| Community Medical Center Inc | Past | Accepting new patients | |
| Clark Fork Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291
30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070
600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001
Interoperability endpoints
- gmoore214667@wm.providencedirect.org
Organizations & group practices 8
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.
-
- Critical Access Hospital
- Dillon, MT
- NPI 1396286480
-
- Critical Access Hospital
- Salmon, ID
- NPI 1851403265
-
- Critical Access Hospital
- Dillon, MT
- NPI 1326042078
-
- Multi-Specialty Clinic/Center
- Twin Bridges, MT
- NPI 1265319255
-
- Medicare Defined Swing Bed Hospital Unit
- Salmon, ID
- NPI 1992913479
-
- Emergency Medicine Physician
- Missoula, MT
- NPI 1538384987
-
- Specialist
- Missoula, MT
- NPI 1548353519
-
- Land Ambulance
- Ennis, MT
- NPI 1518546365
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Dillon, MT
- NPI 1326042078
-
- Medicare Defined Swing Bed Hospital Unit
- Dillon, MT
- NPI 1326419102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1144315573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HWY 91 SOUTH",
"city": "DILLON",
"state": "MT",
"postal_code": "59725",
"telephone_number": "406-683-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MT HIGHWAY 91 S",
"city": "DILLON",
"state": "MT",
"postal_code": "597257379",
"telephone_number": "406-683-3051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "GREGORY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "6607",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "GMOORE214667@WM.PROVIDENCEDIRECT.ORG",
"affiliation": "N",
"address_1": "600 Mt Highway 91 S",
"city": "Dillon",
"state": "MT",
"country_code": "US",
"postal_code": "597257379",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dillon, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.