Appletree Pediatrics, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J0605 Issued in TX

Legal business name

APPLETREE PEDIATRICS, P.A.

Practice address

1306 Doctors Dr
Tyler, TX 75701-2262

Phone

(903) 592-1890

Fax

(903) 592-3222

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J Kathleen Moore, M.D.

Title

Owner/Physician

Phone

(903) 592-1890

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J. Kathleen Moore, MD

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1407940547
  NPD (past)

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1265613889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012262",
            "telephone_number": "903-592-1890",
            "fax_number": "903-592-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012262",
            "telephone_number": "903-592-1890",
            "fax_number": "903-592-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLETREE PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "903-592-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J0605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDIVIDUAL NPI",
            "identifier": "1407940547",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Apkom
• Apple Vision, P.a.
• Bruce Jeffrey Applebaum, M.D.
• Karen C Appleberry, FNP
• Matthew Applegate, ACNP
• Apria Healthcare LLC
• Amanda Arakawa, ATC, ROT, CES
• Jose A Aranda
• Luis R. Arce, MD
• Kimberly Ardoin

• Specialist in Tyler, TX
• Providers in Tyler, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.