Gordon Tavss Moore, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28346 Issued in MA

Practice address

9 Rutland St
Cambridge, MA 02138-2512

Phone

(617) 509-9973

Fax

(617) 359-8112

NPI assigned

Jan 20, 2007

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508919655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RUTLAND ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382512",
            "telephone_number": "617-509-9973",
            "fax_number": "617-359-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RUTLAND ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382512",
            "telephone_number": "617-509-9973",
            "fax_number": "617-359-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GORDON",
        "middle_name": "TAVSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "28346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kazuko Takeuchi Montgomery, PSY.D.
• Sophia Montissol, RN
• Nashruva Jahan Mony
• Hossein Monzavi
• Sarah Catherine Moody-Pourian
• Julia Moore, MA
• Kathryn Moore, PA-C
• Whitney Moore, PSY.D.
• Ines Lucia Mora, LMHC
• Michelle Morales

• Internal Medicine Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.