Earle W. Moore, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME116763 Issued in FL

Practice address

523 Cape Coral Pkwy E
Primary Care Assoc.
Cape Coral, FL 33904-8545

Phone

(239) 549-2772

Fax

(239) 549-2332

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1669476008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 CAPE CORAL PKWY E",
            "address_2": "PRIMARY CARE ASSOC.",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048545",
            "telephone_number": "239-549-2772",
            "fax_number": "239-549-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 CAPE CORAL PKWY E",
            "address_2": "PRIMARY CARE ASSOC.",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048545",
            "telephone_number": "239-549-2772",
            "fax_number": "239-549-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EARLE",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME116763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007610114",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felipe Eduardo Montoya
• Rebecca Montrose, LCSW
• Darelis Monzon Guerra
• Sander Monzon Perez
• Maria De Jesus Monzon Tamargo
• Jessica Moore
• Natalie Renee Moppert, MSW
• Rosa Laura Morales de Leon
• Yisel Morales Ramirez
• Lorenzo Morales Santos

• Family Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.