Organization Active NPI

John T. Moor, M.D.,P.a.

  • Specialist
  • Sarasota, FL
National Provider Identifier
1144361981
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0055341 Issued in FL
Legal business name
JOHN T. MOOR, M.D.,P.A.
Practice address
2446 S Tamiami TRL
Sarasota, FL 34239-3809
Phone
(941) 957-1500
Fax
(941) 957-3059
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Dr. John Timothy Moor, M.D.NPI 1225065410
Title
President
Phone
(941) 957-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0055341 FL Primary

Addresses

Primary practice location

2446 S Tamiami TRL
Sarasota, FL 34239-3809

Mailing address

2446 S Tamiami TRL
Sarasota, FL 34239-3809
Phone (941) 957-1500

Other identifiers 1

IdentifierTypeStateIssuer
061759801MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041025000913 FL Part B Supplier - Clinic/Group Practice 2567423361 Receives reassigned benefits from 7 practitioners
Practice locations: Sarasota, FL
O20100930090258 FL DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Sports Medicine 2567423361 Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

2222 S Tamiami Trl
Ste D
Sarasota, FL 34239
Phone (941) 365-7676

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1144361981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393809",
            "telephone_number": "941-957-1500",
            "fax_number": "941-957-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393809",
            "telephone_number": "941-957-1500",
            "fax_number": "941-957-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. MOOR, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "MOOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-957-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0055341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061759801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.