Active NPI
Joe L Moake, M.D.
- Hematology (Internal Medicine) Physician
- Houston, TX
National Provider Identifier
1386739811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- E0560
- Practice address
- 1709 Dryden
Suite 675
Houston, TX 77030 - Phone
- (713) 798-2250
- Fax
- (713) 798-2255
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | E0560 | TX | Primary |
Addresses
Primary practice location
1709 Dryden
Suite 675
Houston, TX 77030
Mailing address
1709 Dryden
Suite 675
Houston, TX 77030
Phone (713) 798-2250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E0560 | Other | TX | MEDICAL LICENSE |
| F0056163 | Other | TX | DPS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1386739811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 DRYDEN",
"address_2": "SUITE 675",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-798-2250",
"fax_number": "713-798-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 DRYDEN",
"address_2": "SUITE 675",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-798-2250",
"fax_number": "713-798-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOAKE",
"first_name": "JOE",
"middle_name": "L",
"name_prefix": "Prof.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "TX",
"license": "E0560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "E0560",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "F0056163",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.