Organization Active NPI

Sharie a. Moore, M.D., P.a.

  • Family Medicine Physician
  • Lockney, TX
National Provider Identifier
1699095752
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5356 Issued in TX
Legal business name
SHARIE A. MOORE, M.D., P.A.
Practice address
320 N Main
Lockney, TX 79241-0037
Phone
(806) 652-3373
Fax
(806) 652-2417
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Lori J Caballero
Title
Business Office Manager
Phone
(806) 652-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K5356 TX Primary

Addresses

Primary practice location

320 N Main
Lockney, TX 79241-0037

Mailing address

PO Box 37
Lockney, TX 79241-0037
Phone (806) 652-3373

Other identifiers 1

IdentifierTypeStateIssuer
130928801MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1699095752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "LOCKNEY",
            "state": "TX",
            "postal_code": "792410037",
            "telephone_number": "806-652-3373",
            "fax_number": "806-652-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN",
            "city": "LOCKNEY",
            "state": "TX",
            "postal_code": "792410037",
            "telephone_number": "806-652-3373",
            "fax_number": "806-652-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARIE A. MOORE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "806-652-3373"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130928801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.