Robert K Moore MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301029450 Issued in MI

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1666313",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shauntae Rivera
• RJ Wellness LLC
• Todd Marshall Roark, NP
• Rosemary Z Robak, RN
• Robert a Teitge MD PC
• Anna Roberts, TLLP
• Ciera Lynn Roberts
• Michaela Jane Roberts, DO
• Charles E Robertson, CRNA
• Kyle David Robertson, D.O.

• 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 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.

Verify at the official NPI Registry.