Active NPI
Joan L Moore, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Frankford, WV
National Provider Identifier
1619024759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 944
- Practice address
- RT 1 Box 123 Anthony Creek Road
.
Frankford, WV 24938-0097 - Phone
- (304) 497-2752
- Fax
- (304) 497-2752
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 944 | WV | Primary |
Addresses
Primary practice location
RT 1 Box 123 Anthony Creek Road
.
Frankford, WV 24938-0097
Mailing address
RT 1 Anthony Creek Road
. Box 97
Frankford, WV 24938-0097
Phone (304) 497-2752
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 944 | WV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619024759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RT 1 ANTHONY CREEK ROAD",
"address_2": ". BOX 97",
"city": "FRANKFORD",
"state": "WV",
"postal_code": "249380097",
"telephone_number": "304-497-2752",
"fax_number": "304-497-2752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT 1 BOX 123 ANTHONY CREEK ROAD",
"address_2": ".",
"city": "FRANKFORD",
"state": "WV",
"postal_code": "249380097",
"telephone_number": "304-497-2752",
"fax_number": "304-497-2752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JOAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "WV",
"license": "944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankford, WV
Sources for this page
- 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.