Angela Yen Moore, MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

J4627 Issued in TX

Legal business name

ANGELA YEN MOORE, MD PA

Doing business as

Arlington Center for Dermatology

Practice address

711 E Lamar Blvd
Suite 200
Arlington, TX 76011-3888

Phone

(817) 795-7546

Fax

(817) 226-7546

NPI assigned

Nov 21, 2006

Last updated

Dec 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela Yen Moore, MDNPI 1235142266

Title

Executive Owner

Phone

(817) 795-7546

Specialties & licenses 2

Addresses

Other names 1

• Arlington Center for Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Angela Y. Moore, MD, PA

  • Dermatopathology Physician
  • Arlington, TX
  • NPI 1235142266

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Kristyn Meadows

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1649058777
  Medicare reassignment Care Compare group NPD
• Holli O Perry, APN

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1689172132
  Medicare reassignment Care Compare group NPD
• Lisa Hu, PA-C

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1730579376
  Medicare reassignment Care Compare group
• Todd O Moore, MD, PA

  • Clinical & Laboratory Dermatological Immunology Physician
  • Arlington, TX
  • NPI 1083627020
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1265507941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E LAMAR BLVD",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113888",
            "telephone_number": "817-795-7546",
            "fax_number": "817-226-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E LAMAR BLVD",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113888",
            "telephone_number": "817-795-7546",
            "fax_number": "817-226-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA YEN MOORE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "YEN",
        "authorized_official_title_or_position": "EXECUTIVE OWNER",
        "authorized_official_telephone_number": "817-795-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J4627",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "J4627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Center for Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.