James Leroy Moore

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

113646 Issued in MO

Practice address

5010 Wood Shire Dr
Columbia, MO 65202-6654

Phone

(816) 674-5528

NPI assigned

May 6, 2019

Last updated

May 6, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1649835521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 WOOD SHIRE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026654",
            "telephone_number": "816-674-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 WOOD SHIRE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026654",
            "telephone_number": "816-674-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JAMES",
        "middle_name": "LEROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MO",
            "license": "113646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "113646",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don K Moore, M.D.
• Ellen Moore, LMSW
• Emily Moore, CRT
• Erika Moore, COTA
• Jacob Bradley Moore
• Jania Ayrie Moore
• Joshua Steven Moore, PHARMD.
• Kelli Jo Moore, M.D.
• Kelly Moore, DO
• Kimberly Moore, PHARMD, M.S.

• Sports Medicine (Emergency Medicine) Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Sports Medicine (Emergency Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.