Moore Family Care PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

9601161 Issued in NC

Legal business name

MOORE FAMILY CARE PA

Practice address

3349 US Hwy 1
Vass, NC 28394-0647

Phone

(910) 245-7678

Fax

(910) 245-1444

NPI assigned

Sep 18, 2008

Organization subpart

No

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

Authorized official

Name

Thomas Leonard, MD

Title

MD

Phone

(910) 245-7678

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1649429226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 US HWY 1",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283940647",
            "telephone_number": "910-245-7678",
            "fax_number": "910-245-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 US HWY 1",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283940647",
            "telephone_number": "910-245-7678",
            "fax_number": "910-245-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE FAMILY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "910-245-7678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "9601161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014UP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A. Hanley, DNP PMH/FNP-BC
• Huston Lewis Hastie, DMD
• Joyce Hester
• Louis Joseph Marchetti, MD
• McKeithen Family Care Home
• Jennifer Evans Moore, NP
• Neighborhood Youth Leadership
• Todd R Nicholson, P.A.
• Lisa Renee Oldroyd, FNP-BC
• Judith Suzanne Rose, LCSW

• Clinic/Center in Vass, NC
• Providers in Vass, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.