NPIMap

Individual provider Active NPI

Christine Lee Moore, DO

  • Family Medicine Physician
  • Raymore, MO
National Provider Identifier
1235131574
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8J20 Issued in MO
Practice address
402 W Pine St
Ste K
Raymore, MO 64083-9075
Phone
(816) 322-0701
Fax
(816) 322-2035
NPI assigned
Jun 1, 2005
Last updated
May 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8J20 MO Primary

Addresses

Primary practice location

402 W Pine St
Ste K
Raymore, MO 64083-9075

Mailing address

PO Box 193
Raymore, MO 64083-0193
Phone (816) 322-0701

Other identifiers 2

IdentifierTypeStateIssuer
242670602MedicaidMO
15229013OtherMOBCBSKC

Other names 1

  • Dr. Christine Lee Lemay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726000719 MO Practitioner - Family Practice 3971530056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

402 W Pine St
Suite K
Raymore, MO 64083-9691
Phone 8163220701509

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R8J20MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christine L Moore DO PC Family Medicine CurrentSince Dec 1, 2004 Accepting new patients
Christine L Moore DO PC Family Medicine CurrentSince Dec 1, 2004 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

402 W Pine St
Ste K
Raymore, MO 64083
Phone (816) 322-0701

6325 Blue Ridge Blvd
Ste C
Raytown, MO 64133
Phone (816) 353-3050

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1235131574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640830193",
            "telephone_number": "816-322-0701",
            "fax_number": "816-322-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W PINE ST",
            "address_2": "STE K",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839075",
            "telephone_number": "816-322-0701",
            "fax_number": "816-322-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTINE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8J20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242670602",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "15229013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "LEMAY",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raymore, MO

Sources for this page

Verify at the official NPI Registry.