Active NPI
Allison K Moore, D.O.
- Emergency Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0151R
- 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, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0151R | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Tulsa County, LLC | Emergency Medicine | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Kingfisher, Inc | Current | Accepting new patients | |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Kingfisher, Inc | Current | 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 | Current | Accepting new patients | |
| Ies ER Oklahoma LLC | Emergency Medicine | Current | Accepting new patients |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | 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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Critical Access Hospital
- Kingfisher, OK
- NPI 1083048417
-
- Diagnostic Radiology Physician
- Kingfisher, OK
- NPI 1285064618
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
dba St. John Owasso
- General Acute Care Hospital
- Owasso, OK
- NPI 1144231432
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
dba Ascension St. John Jenks
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.