Moore Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOORE CLINIC INC

Practice address

3162 N 3350 W
Moore, ID 83255

Phone

(208) 554-4000

Fax

(208) 554-4001

NPI assigned

Oct 16, 2012

Last updated

May 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gail S Ford, D.O.

Title

Owner

Phone

(208) 554-4000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1386997393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "MOORE",
            "state": "ID",
            "postal_code": "832550465",
            "telephone_number": "208-554-4000",
            "fax_number": "208-554-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 N 3350 W",
            "city": "MOORE",
            "state": "ID",
            "postal_code": "83255",
            "telephone_number": "208-554-4000",
            "fax_number": "208-554-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-554-4000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easy Go Express
• Suzanne Keele Edelman, ANP
• Douglas Pearson

• Family Medicine Physician in Moore, ID
• Providers in Moore, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.