William Harrison Moore Jr., M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

15177 Issued in AL

Practice address

3368 Highway 280
Suite 111
Alexander City, AL 35010-3393

Phone

(256) 234-3477

Fax

(256) 234-9866

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Tennessee, HSC, College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russell Hospital CorporationGroup PAC ID 6406754431, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Russell Medical Center Hospital, Alexander City, AL, CCN 010065
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Merit-based Incentive Payment System (MIPS)

Final score

71.09 of 100Reported as group

Quality

52.05

Promoting interoperability

80

Improvement activities

40

Cost

68.25

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Russell Hospital Corporation

  • Family Medicine Physician
  • Alexander City, AL
  • NPI 1417252537
  Medicare reassignment Care Compare group NPD
• Russell Hospital Corporation

  • Rural Health Clinic/Center
  • New Site, AL
  • NPI 1700419868
  NPD
• Russell Hospital Corporation

  • General Acute Care Hospital
  • Alexander City, AL
  • NPI 1811913460
  NPD (past)
• The Russell Hospital Corporation

  • Primary Care Clinic/Center
  • Goodwater, AL
  • NPI 1174990626
  NPD (past)

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

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• Russell Hospital Corporation

  • General Acute Care Hospital
  • Alexander City, AL
  • NPI 1811913460
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1700804242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE 111",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-234-3477",
            "fax_number": "256-234-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE 111",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-234-3477",
            "fax_number": "256-234-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WILLIAM",
        "middle_name": "HARRISON",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "15177",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "AL",
            "license": "15177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00002851MOO",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIEL",
            "identifier": "51119786",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Park Optical Inc.
• Medical Park Optical, Inc.
• Lindsay Rachel Mitchell, CRNP
• Shalena Mitchell, CRNP
• Shelley Marie Moore, NP-C
• Justin Mosley
• Mountain Smiles - Lamberth & Lamberth PLLC
• Regina Murray
• Ruth S Nabors, M.D.
• Mathieu Nader, M.D.

• Gynecology Physician in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.