Edward E Moore, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

10002 Issued in SC

Practice address

1410 Blanding St
Suite 205
Columbia, SC 29201

Phone

(803) 779-6320

Fax

(803) 779-6323

NPI assigned

May 27, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184671158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BLANDING ST",
            "address_2": "SUITE 205",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-779-6320",
            "fax_number": "803-779-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BLANDING ST",
            "address_2": "SUITE 205",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-779-6320",
            "fax_number": "803-779-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EDWARD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "SC",
            "license": "10002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G03136",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Moore
• Damitchell Detavious Montez Moore, NCPT
• Daryl Denise Moore, CCC-SLP
• Debra J Moore, ED.S.
• Donald G Moore, MD
• Erin M Moore, ATC
• Gabriella Moore
• Ginger Annette Moore, NNP
• Gloria A Moore
• Harold A Moore, MD

• Reproductive Endocrinology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Reproductive Endocrinology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.