Active NPI
Robert K Moore MD PC
- Cardiovascular Disease Physician
- Warren, MI
National Provider Identifier
1194031682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301029450
- Legal business name
- ROBERT K MOORE MD PC
- Practice address
- 28341 Hoover Rd
Warren, MI 48093-4151 - Phone
- (586) 751-8890
- Fax
- (586) 751-1103
- NPI assigned
- Aug 23, 2010
- Last updated
- Aug 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert K Moore, MD
- Title
- President
- Phone
- (586) 436-5373
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301029450 | MI | Primary |
Addresses
Primary practice location
28341 Hoover Rd
Warren, MI 48093-4151
Mailing address
28341 Hoover Rd
Warren, MI 48093-4151
Phone (586) 751-8890
National Provider Directory
National Provider DirectoryLocations
28341 Hoover Rd
Warren, MI 48093
Phone (586) 751-8890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Warren, MI
- NPI 1144219684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282521600000",
"number": "1194031682",
"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": {
"organization_name": "ROBERT K MOORE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-436-5373",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301029450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.