Active NPI
William R Moore, MD
- Surgery Physician
- Peabody, MA
National Provider Identifier
1548374416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 29094
- Practice address
- 6 Essex Center Dr
Suite 203
Peabody, MA 01960 - Phone
- (978) 532-3240
- Fax
- (978) 532-0526
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 29094 | MA | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 29094 | MA |
Addresses
Primary practice location
6 Essex Center Dr
Suite 203
Peabody, MA 01960
Mailing address
81 Highland Ave
North Shore Health Systems
Salem, MA 01970
Phone (978) 354-4173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29094 | MA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastic and Reconstructive Surgery of Essex County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Peabody, MA
- NPI 1518015171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1548374416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"address_2": "NORTH SHORE HEALTH SYSTEMS",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-354-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ESSEX CENTER DR",
"address_2": "SUITE 203",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-532-3240",
"fax_number": "978-532-0526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "29094",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MA",
"license": "29094",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.