Robert William Moore, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

224246-1 Issued in NY

Practice address

18 Feathers Dr
Plattsburgh, NY 12901-6461

Phone

(518) 324-2040

Fax

(518) 324-2041

NPI assigned

Dec 27, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1710042882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FEATHERS DRIVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011874",
            "telephone_number": "518-324-2040",
            "fax_number": "518-324-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FEATHERS DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016461",
            "telephone_number": "518-324-2040",
            "fax_number": "518-324-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "224246-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02743295",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monette Counseling Services LLC
• Ashley Taylor Monette
• Patrick Monette
• Anthony Michael Montesano, MA
• Anita Moore, PT
• Stephanie Polk Moore, M.D.
• Steven F Moore, PHARM D.
• Ana Mariela Morales Mejia, MD
• Michael David Morgan, PH.D., CCC-SLP
• Althea Louise Morrison, MD

• Pediatrics Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.