Active NPI
Paul M Moore, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 32916
- Practice address
- 350 Park St
Suite 210
Bowling Green, KY 42101-1784 - Phone
- (270) 796-3330
- Fax
- (270) 796-3338
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 32916 | KY | Primary |
Addresses
Primary practice location
350 Park St
Suite 210
Bowling Green, KY 42101-1784
Mailing address
PO Box 2697
Bowling Green, KY 42102-7697
Phone (270) 745-1467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64329162 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- University of Wisconsin School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178
350 Park St
Bowling Green, KY 42101-1784
421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 846-8902
825 2ND Ave
Bowling Green, KY 42101-1790
825 2ND Ave
Suite C1
Bowling Green, KY 42101-1791
Phone (270) 780-2690
825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786
Hospital & facility affiliations
- The Medical Center (Bowling Green)
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 36 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| T J Samson Community Hospital | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Bowling Green-Warren County Community Hospital Corporation | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Past | Accepting new patients | |
| Commonwealth Health Corporation | Past | Accepting new patients |
Locations
723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421
350 Park St
Ste 210
Bowling Green, KY 42101
Phone (270) 796-2550
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
825 2nd Ave
Ste C1
Bowling Green, KY 42101
Phone (270) 780-2690
825 2nd Ave
Ste B1
Bowling Green, KY 42101
Phone (270) 843-8600
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
- Neurology Physician
- Bowling Green, KY
- NPI 1942990767
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1477609865
-
- Hematology & Oncology Physician
- Bowling Green, KY
- NPI 1891652343
-
- Specialist
- Glasgow, KY
- NPI 1932907144
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bowling Green, KY
- NPI 1962432187
-
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Family Nurse Practitioner
- Greenville, KY
- NPI 1689291577
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
-
- Family Medicine Physician
- Scottsville, KY
- NPI 1508899089
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295734515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2697",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421027697",
"telephone_number": "270-745-1467",
"fax_number": "270-745-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PARK ST",
"address_2": "SUITE 210",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011784",
"telephone_number": "270-796-3330",
"fax_number": "270-796-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "PAUL",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "32916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64329162",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.