Eric A Moore, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME63176 Issued in FL

Practice address

424 Timberwalk LN
Lake Mary, FL 32746-4027

Phone

(407) 496-3549

Fax

(407) 878-4406

NPI assigned

Jul 12, 2006

Last updated

Nov 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

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 Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: emoore128682@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Psychiatric Providers

  • Psychiatry Physician
  • Garner, NC
  • NPI 1083481824
  NPD Authorized official
• Caya Health

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1780204610
  Authorized official Same address or phone
• Moore Medical Group Inc

  dba CAYA Health

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1871117572
  Authorized official Same address or phone

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1316962582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 TIMBERWALK LN",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464027",
            "telephone_number": "407-496-3549",
            "fax_number": "407-878-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 TIMBERWALK LN",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464027",
            "telephone_number": "407-496-3549",
            "fax_number": "407-878-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ERIC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME63176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261403100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO/POS",
            "identifier": "7726099",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3104492",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1617532012",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "25666",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nevaeh Marie Montoya I
• Shantanique Daleja Moore King, LMFT
• Moore Medical Group Inc
• Moore Medical Group Inc (CAYA Health)
• Angela Moore
• Taylor R Moore, PA
• Cristina Moraes
• Ivonne Morales
• Teresa Morales, LMHC
• Laura Lee Moran, SLP

• Family Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.