NPIMap

Individual provider Active NPI

Merwin B Moore, MD

  • Orthopaedic Surgery Physician
  • Mountain Home, AR
National Provider Identifier
1386617561
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E5667 Issued in AR
Practice address
639 Broadmoor Circle
Mountain Home, AR 72653
Phone
(870) 424-4710
Fax
(870) 424-4780
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2003027560 MO
Orthopaedic Surgery Physician 207X00000X E5667 AR Primary

Addresses

Primary practice location

639 Broadmoor Circle
Mountain Home, AR 72653

Mailing address

639 Broadmoor Circle
Mountain Home, AR 72653
Phone (870) 424-4710

Other identifiers 3

IdentifierTypeStateIssuer
5H201OtherARBCBS - ARKANSAS
154348001MedicaidAR
209057108MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040521000572 MO Practitioner - Orthopedic Surgery 1658362298 Reassigns benefits to 1 organization
I20080828000461 AR Practitioner - Orthopedic SurgeryPractitioner - Oral Surgery 1658362298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Mississippi School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1019 E Main St
Baxter Health Bone and Joint Clinic
Melbourne, AR 72556-8240
Phone (870) 368-4729

2178 Hwy 62 412
Suite a
Highland, AR 72542-9478
Phone (870) 424-4710

624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 508-6960

639 Broadmoor Cir
Mountain Home, AR 72653-2901
Phone (870) 424-4710

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement26
Knee replacement22
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)34
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E5667ARMDOrthopaedic Surgery Physician
2003027560MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M B Moore MD Orthopaedic Surgeon PA Orthopaedic Surgery CurrentSince Dec 24, 2009 Accepting new patients
Baxter County Regional Hospital Inc Current Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Jan 1, 2011 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Jan 1, 2011 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

639 Broadmoor Cir
Mountain Home, AR 72653
Phone (870) 424-4170

628 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-3181

628 Hospital Dr
Ste E
Mountain Home, AR 72653
Phone (870) 424-4710

Interoperability endpoints

  • Direct secure messaging: merwin.moore@bhcawp.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1386617561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 BROADMOOR CIRCLE",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-424-4710",
            "fax_number": "870-424-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 BROADMOOR CIRCLE",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-424-4710",
            "fax_number": "870-424-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MERWIN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2003027560",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E5667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - ARKANSAS",
            "identifier": "5H201",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154348001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209057108",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.