Robert Daniel Moore, DO

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

045300 Issued in GA

Practice address

11975 Morris Road
Suite 140
Alpharetta, GA 30005-4493

Phone

(770) 475-4499

Fax

(877) 509-0690

NPI assigned

Feb 25, 2007

Last updated

Oct 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Urogynecology PC

  dba Atlanta Urogynecology Associates

  • Specialist
  • Alpharetta, GA
  • NPI 1669557559
  NPD
• Intermed, PA

  • Internal Medicine Physician
  • South Portland, ME
  • NPI 1467422733
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1518093673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11975 MORRIS ROAD",
            "address_2": "SUITE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054493",
            "telephone_number": "770-475-4499",
            "fax_number": "877-509-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 MORRIS ROAD",
            "address_2": "SUITE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054493",
            "telephone_number": "770-475-4499",
            "fax_number": "877-509-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Old Milton Pkwy",
            "address_2": "Building C Suite 330",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300053707",
            "country_code": "US",
            "telephone_number": "770-475-4499",
            "fax_number": "770-415-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "GA",
            "license": "045300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00799015A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Gammon Moore, M.D.
• Joseph Moore
• Kevin Moore, L.P.C., C.A.C.
• Kirsten Moore, PSY.D.
• Lamara Moore, RDH
• Tiffany E. Moore
• Yolanda Renee Moore, D.D.S.
• Susan Mora, FNP
• Terence L. Moraczewski, M.D.
• Aida Morad Samiei

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.