Individual provider Active NPI

William Moore, MD

  • Pain Medicine (Anesthesiology) Physician
  • Leesburg, FL
National Provider Identifier
1497866974
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME74455 Issued in FL
Practice address
600 E Dixie Ave
Leesburg, FL 34748-5925
Phone
(352) 867-8898
Fax
(352) 732-6282
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME74455 FL Primary

Addresses

Primary practice location

600 E Dixie Ave
Leesburg, FL 34748-5925

Mailing address

PO Box 917756
Orlando, FL 32891-7756
Phone (352) 867-8898

Other identifiers 1

IdentifierTypeStateIssuer
42457OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110630000416 FL Practitioner - Anesthesiology 6507044112 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME74455FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Anesthesia Ams LLC CurrentSince Jun 5, 2018 Accepting new patients
Vision Anesthesia LLC CurrentSince Sep 15, 2023 Accepting new patients
Quiescence Anesthesia LLC CurrentSince Jan 2, 2019 Accepting new patients
Sacher Anesthesia and Pain Management Inc Pain Medicine Past Accepting new patients
Ocala Surgical Center Anesthesia Inc Past Accepting new patients

Locations

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (407) 354-5401

598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565

1399 Jenks Ave
Bldg J
Panama City, FL 32401
Phone (850) 532-6303

3505 Progress Ln
Saint Cloud, FL 34769
Phone (407) 348-5175

1879 Nightingale Ln
Ste A1
Tavares, FL 32778
Phone (352) 401-1919

15548 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 547-1654

1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497866974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917756",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917756",
            "telephone_number": "352-867-8898",
            "fax_number": "352-732-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-867-8898",
            "fax_number": "352-732-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME74455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42457",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.