Moore Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MOORE PRIMARY CARE

Practice address

1400 SE 4TH St
Suite H
Moore, OK 73160-7329

Phone

(405) 799-7400

Fax

(405) 799-7405

NPI assigned

Apr 25, 2011

Organization subpart

No

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

Authorized official

Name

Randall Carter, PA-C

Title

PA-C

Phone

(405) 799-7400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1578854576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SE 4TH ST",
            "address_2": "SUITE H",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607329",
            "telephone_number": "405-799-7400",
            "fax_number": "405-799-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE 4TH ST",
            "address_2": "SUITE H",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607329",
            "telephone_number": "405-799-7400",
            "fax_number": "405-799-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "405-799-7400",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200079670A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moore Family Therapy
• Moore Med CNTR Clinic Phcy
• Moore Medical Center
• Moore Medical Center, LLC
• Moore Nursing Home Inc
• Moore Primary Care Geriatrics Aprn-CNP, PC
• Moore Primary Care Inc
• Moore RX, LLC
• Moore SNF Operations, LLC
• Moore Youth & Family Services, Inc.

• Primary Care Clinic/Center in Moore, OK
• Providers in Moore, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.