Eddie P Moore, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

E4540 Issued in TX

Practice address

1900 Pine St
Abilene, TX 79601-2432

Phone

(325) 670-2151

NPI assigned

Oct 13, 2005

Last updated

Mar 19, 2013By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Midwest Emergency Physicians PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Abilene, TX
  • NPI 1740278993
  Authorized official Same address or phone
• Hendrick Medical Center

  dba Hendrick Medical Center Physicians

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1861498735
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1710976675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5210",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730705210",
            "telephone_number": "866-321-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012432",
            "telephone_number": "325-670-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EDDIE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "E4540",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "E4540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139147616",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139147617",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01132174",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew John Mohr Jr., RPH, PHARMD
• Rachel Jones Monhollon, OTR
• Brandy L. Montgomery, FNP
• Melissa Moody, LPC
• Chip Reed Moore
• Emily Rae Moore, PHARMD
• Janah Jo Moore
• Jessica Moore, FNP-C
• Lydia Moore, SLP
• Rachel Marie Moore, PHARMD, BCACP,BC-ADM

• Emergency Medicine Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.