NPIMap

Individual provider Active NPI

John Taylor Moore, M.D.

  • Urology Physician
  • Little Rock, AR
National Provider Identifier
1669615225
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E-8743 Issued in AR
Practice address
8901 Carti Way
Little Rock, AR 72205-6523
Phone
(501) 906-3000
Fax
(501) 907-8367
NPI assigned
Apr 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X E-8743 AR Primary

Addresses

Primary practice location

8901 Carti Way
Little Rock, AR 72205-6523

Mailing address

PO Box 55050
Little Rock, AR 72215-5050
Phone (501) 906-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140827001179 AR Practitioner - Urology 8729206149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arkansas College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Arkansas Radiation Therapy Institute IncGroup PAC ID 7810068400, 89 clinicians

Practice addresses (Care Compare)

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

Hospital & facility affiliations

  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection59
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-8743ARMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Radiation Therapy Institute Inc Current Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Dec 4, 2023 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Dec 4, 2023 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Past Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

410 Denison St
Conway, AR 72034
Phone (501) 219-1114

1601 N West Ave
El Dorado, AR 71730

8820 Carti Way
Little Rock, AR 72205

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

3320 Springhill Dr
Ste B
North Little Rock, AR 72117
Phone (501) 467-3930

4303 S Mulberry St
Pine Bluff, AR 71603
Phone (501) 535-4221

5001 Bobo Rd
Pine Bluff, AR 71603

415 Rodgers Dr
Searcy, AR 72143
Phone (501) 268-2185

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1669615225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000",
            "fax_number": "501-507-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "E-8743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.