John Steven Moore, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2388 Issued in OK

Practice address

200 Melville Dr
Pauls Valley, OK 73075-6609

Phone

(405) 238-5555

Fax

(405) 238-6348

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. J Steven Moore Professional name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550

  Internal Medicine

  Medicare reassignment NPD
• Southern Plains Medical Center Inc

  dba CareFirst Wellness Associates

  • Family Medicine Physician
  • Pauls Valley, OK
  • NPI 1477101715
  NPD
• Southern Plains Medical Center Inc

  dba CareFirst Wellness Associates

  • Clinic/Center
  • Norman, OK
  • NPI 1881499655
  NPD
• Southern Plains Medical Center Inc

  dba CareFirst Wellness Associates

  • Clinic/Center
  • Chickasha, OK
  • NPI 1962469098
  NPD

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1306819917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MELVILLE DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756609",
            "telephone_number": "405-238-5555",
            "fax_number": "405-238-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MELVILLE DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756609",
            "telephone_number": "405-238-5555",
            "fax_number": "405-238-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "MOORE",
            "middle_name": "STEVEN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joni Michael
• Kathlyn Milligan
• Nature Milligan
• Catoya Taneil Mitchell
• Charles Howard Mitchell, DO
• Michael Elias Moore
• Thomas Taylor Moore, M.A.
• Ahmad Musa, MD
• Huma Naz, M.D.
• Karen Newton

• Internal Medicine Physician in Pauls Valley, OK
• Providers in Pauls Valley, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.