Frederick Henry Moore Jr.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

2701493343 Issued in MI

Practice address

14000 Lakeside Cir
Sterling Heights, MI 48313-1320

Phone

(586) 260-6371

NPI assigned

Dec 4, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1427695857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38511 WELLINGTON DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363520",
            "telephone_number": "586-260-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 LAKESIDE CIR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131320",
            "telephone_number": "586-260-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "FREDERICK",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MI",
            "license": "2701493343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Monteleone, PA-C
• Cleaha Faye Montgomery
• Montier Home Health Care,Inc
• Aliya Maria Moody
• Erin Faith Mooney
• Glenn Moore, M.D.
• Tina Moore
• Jack Frank Moores III, DDS
• Andrea Morales
• Katelin Moran

• Prosthetics Case Management in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Prosthetics Case Management in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.