Elizabeth Jordan Moore, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2021029939 Issued in MO

Practice address

525 Branson Landing Blvd Ste 508
Branson, MO 65616-2131

Phone

(417) 335-7540

Fax

(417) 335-7544

NPI assigned

Apr 8, 2020

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skaggs Community Hospital Association

  dba CoxHealth Pulmonary and Sleep Medicine

  • Pulmonary Disease Physician
  • Branson, MO
  • NPI 1871786905
  Medicare reassignment Care Compare group NPD
• Skaggs Community Hospital Association

  dba CoxHealth Family Medicine & Obstetrics

  • Rural Health Clinic/Center
  • Branson, MO
  • NPI 1114005451

  Family Medicine

  NPD
• Skaggs Community Hospital Association

  dba CoxHealth Family Medicine Branson

  • Family Medicine Physician
  • Branson, MO
  • NPI 1356291298
  NPD
• Skaggs Community Hospital Association

  dba CoxHealth Pain and Neurology

  • Neurology Physician
  • Branson, MO
  • NPI 1417992793
  NPD (past)
• Skaggs Community Hospital Association

  dba Cox Medical Center Branson

  • General Acute Care Hospital
  • Branson, MO
  • NPI 1760443980
  NPD (past)

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1366071540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRANSON LANDING BLVD STE 508",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162131",
            "telephone_number": "417-335-7540",
            "fax_number": "417-335-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELIZABETH",
        "middle_name": "JORDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2021029939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri CVS Pharmacy LLC (CVS Pharmacy #17184)
• Missouri Eye Institute of Branson LLC
• Mittie M Dragosljvich MD LLC
• Candace Mize, FNP
• Lindy Dianne Moncado
• Patricia Hogan Mort, D.O.
• Linda Sue Morton, R.D.,L.D.
• Michael Herbert Morton, RPH
• Habib G Munshi, M.D.
• Linda Muralles

• Family Medicine Physician in Branson, MO
• Providers in Branson, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.

Verify at the official NPI Registry.