Moore County Physician Group

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MOORE COUNTY PHYSICIAN GROUP

Practice address

224 E 2ND St
Dumas, TX 79029-3808

Phone

(806) 934-7813

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Kim Kniskern

Title

PFS Director

Phone

(806) 934-7813

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1639333693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790290420",
            "telephone_number": "806-934-7813",
            "fax_number": "806-934-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E 2ND ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293808",
            "telephone_number": "806-934-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE COUNTY PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "KNISKERN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "806-934-7813"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edilberto R Miguel, MD
• Jordan Scott Mitchell, M.D.
• Moore County Hospital District
• Moore County Hospital District
• Moore County Pho LLC
• Tory W Moore, OD
• Carol Nevarez
• Jaime Eduardo Olmos
• Opara PA
• Panhandle Vision Center - Dumas PC

• Anesthesiology Physician in Dumas, TX
• Providers in Dumas, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.