Organization Active NPI

Pamela Moore, MD, PA

  • Primary Care Clinic/Center
  • Plano, TX
National Provider Identifier
1316136062
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K4963 Issued in TX
Legal business name
PAMELA MOORE, MD, PA
Practice address
6300 Stonewood Dr
Suite 200
Plano, TX 75024-5280
Phone
(972) 867-1803
Fax
(972) 867-1603
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Pamela Dione Moore, MDNPI 1598838435
Title
Owner
Phone
(972) 867-1803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K4963 TX Primary

Addresses

Primary practice location

6300 Stonewood Dr
Suite 200
Plano, TX 75024-5280

Mailing address

6300 Stonewood Dr
Suite 200
Plano, TX 75024-5280
Phone (972) 867-1803

National Provider Directory

National Provider Directory

Locations

6300 Stonewood Dr
Ste 200
Plano, TX 75024
Phone (972) 867-1803

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1316136062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245280",
            "telephone_number": "972-867-1803",
            "fax_number": "972-867-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245280",
            "telephone_number": "972-867-1803",
            "fax_number": "972-867-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA MOORE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DIONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-867-1803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K4963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.