Walter Brian Moore, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

C10002134 Issued in DE

Practice address

21 W Clarke Ave
Milford, DE 19963-1840

Phone

(302) 422-4047

Fax

(302) 424-0844

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bay Anesthesia Associates LLC

  • Anesthesiology Physician
  • Dover, DE
  • NPI 1538372149
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649299579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8279 SHAWNEE RD",
            "city": "LINCOLN",
            "state": "DE",
            "postal_code": "199603410",
            "telephone_number": "302-422-4047",
            "fax_number": "302-424-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631840",
            "telephone_number": "302-422-4047",
            "fax_number": "302-424-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WALTER",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "C10002134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martona Moody, NP
• Cortney Moore
• Jaclyn Moore
• Samantha Renee Moore, MS, RD, LD
• Shaun Christopher Moore, DO
• Matthew R Moorman, DO
• Rukiya Moraga, PH.D.
• Heidi Morales, LCSW
• Marian Morcous, RPH
• Gary B Morgan, D.C.

• Anesthesiology Physician in Milford, DE
• Providers in Milford, DE by specialty
• Anesthesiology Physician in Delaware

• 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.

Verify at the official NPI Registry.