Deborah Lea Moore, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P8391 Issued in TX

Practice address

1619 S Kentucky St
Suite F600
Amarillo, TX 79102-2239

Phone

(806) 373-2200

NPI assigned

Nov 25, 2008

Last updated

Jan 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Deborah Lea Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: deborah.moore@55768856920066.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/25616/brand/1/csg/1/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.

• Panhandle Family Care LLC

  dba Family Care Clinic of Panhandle

  • Rural Health Clinic/Center
  • Panhandle, TX
  • NPI 1003407834
  NPD

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1568617017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 S KENTUCKY ST",
            "address_2": "SUITE F600",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022239",
            "telephone_number": "806-373-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 S KENTUCKY ST",
            "address_2": "SUITE F600",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022239",
            "telephone_number": "806-373-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEBORAH",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "47245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SMITH",
            "middle_name": "LEA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Casandra Darlin Montoya, LPC ASSOCIATE
• Mercedes Moomaw
• Melissa Moon, DPT
• Moore Health Services Corporation (Georgia Manor Nursing Home)
• Charlie Jim Moore, O.D.
• Diana Moore, PHARMD
• Donald G Moore, RPH
• Elizabeth Moore, LPC
• John Allen Moore, LPC
• Julene Rae Moore, MD

• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.