Active NPI
Thayer Moor, M.D.
- Family Medicine Physician
- Homewood, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34525
- Practice address
- 1 W Lakeshore Dr
Homewood, AL 35209-0500 - Phone
- (205) 930-2950
- Fax
- (205) 408-1229
- NPI assigned
- May 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34525 | AL | Primary |
Addresses
Primary practice location
1 W Lakeshore Dr
Homewood, AL 35209-0500
Mailing address
PO Box 530407
Birmingham, AL 35253-0407
Phone (205) 616-5421
Other practice location 1
840 Montclair Rd
Suite 122
Birmingham, AL 35213-1920
Phone (205) 592-5135
Other names 1
- Thayer G. Moor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170502001386 | AL | Practitioner - General Practice | 6406090752 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34525 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Help 280 LLC | Current | Accepting new patients | |
| Baptist Health System, Inc. | Past | Accepting new patients |
Locations
1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996
151 Narrows Pkwy
Ste 110
Birmingham, AL 35242
Phone (205) 444-9550
4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1174681654
-
- Internal Medicine Physician
- Irondale, AL
- NPI 1821031824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1689933038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 530407",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352530407",
"telephone_number": "205-616-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W LAKESHORE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352090500",
"telephone_number": "205-930-2950",
"fax_number": "205-408-1229"
}
],
"practiceLocations": [
{
"address_1": "840 Montclair Rd",
"address_2": "Suite 122",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352131920",
"country_code": "US",
"telephone_number": "205-592-5135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOOR",
"first_name": "THAYER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-04",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "34525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THAYER",
"last_name": "MOOR",
"middle_name": "G.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.