Individual provider Active NPI

Allison K Moore, D.O.

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1508217514
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0151R Issued in OK
Practice address
4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223
Phone
(405) 636-7195
NPI assigned
Jun 30, 2016
Last updated
Jun 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0151R OK Primary

Addresses

Primary practice location

4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223

Mailing address

17166 N Anderson Rd
Arcadia, OK 73007-7115
Phone (918) 637-5552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180108002653 OK Practitioner - Emergency Medicine 5890054399 Reassigns benefits to 11 organizations
I20260122000074 TX Practitioner - Emergency Medicine 5890054399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 1069
Tahlequah, OK 74465

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0151ROKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Cherokee Nation CurrentSince Dec 10, 2025 Accepting new patients
St. John Physicians, Inc CurrentSince Jul 9, 2023 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Mercy Hospital Kingfisher, Inc Current Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince May 1, 2018 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
St. John Physicians, Inc. Emergency Medicine Current Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Feb 1, 2019 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Jan 20, 2018 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince May 1, 2018 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince May 1, 2018 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Dec 10, 2025 Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients
Owasso Medical Facility, Inc Past Accepting new patients
St. John Broken Arrow, Inc Past Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 6

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1508217514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17166 N ANDERSON RD",
            "city": "ARCADIA",
            "state": "OK",
            "postal_code": "730077115",
            "telephone_number": "918-637-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE",
            "address_2": "SUITE 306",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093223",
            "telephone_number": "405-636-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALLISON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "0151R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.