Gregory Kim Moore, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

291,122 Issued in IA

Practice address

1317 N Court St
Ottumwa, IA 52501-1911

Phone

(641) 683-3277

Fax

(641) 683-3458

NPI assigned

Jan 10, 2007

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

Enrolled in IA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Moore Hearing Clinic PC

  • Audiologist-Hearing Aid Fitter
  • Ottumwa, IA
  • NPI 1881946572
  Medicare reassignment NPD Authorized official
• Ottumwa Neurological Associates, PC

  • Nurse Practitioner
  • Ottumwa, IA
  • NPI 1588618011
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700936218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N COURT ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011911",
            "telephone_number": "641-683-3277",
            "fax_number": "641-683-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N COURT ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011911",
            "telephone_number": "641-683-3277",
            "fax_number": "641-683-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GREGORY",
        "middle_name": "KIM",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "291,122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168054",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobile Medical Diagnostic Services
• Tyna Monohon
• Michelle April Moon, PHARMD
• Moore Hearing Clinic PC
• Bret A Moore, PA-C
• Keshia Moore, RN
• Robert Payson Moreland, O.D.
• Victoria Lynn Morris, FNP
• Laci Morrissey, M.A., LMHC, NCC
• Thomas Job Mukkada, MD

• Audiologist in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Audiologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.