Individual provider Active NPI

Melissa M Moore, MD

  • Obstetrics & Gynecology Physician
  • Winter Park, FL
National Provider Identifier
1740282466
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME75528 Issued in FL
Practice address
100 N Edinburgh Dr Ste 200
Winter Park, FL 32792-4125
Phone
(407) 645-5565
Fax
(407) 647-1135
NPI assigned
Aug 12, 2005
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X ME75528 FL
Obstetrics & Gynecology Physician 207V00000X ME75528 FL Primary

Addresses

Primary practice location

100 N Edinburgh Dr Ste 200
Winter Park, FL 32792-4125

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

100 Perth Ln
Winter Park, FL 32792-4197
Phone (407) 645-5565

Other identifiers 1

IdentifierTypeStateIssuer
256559500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040714000146 FL Practitioner - Obstetrics/Gynecology 7810975331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Iowa, RJ & L Carver College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

100 N Edinburgh Dr
Suite 200
Winter Park, FL 32792-4125
Phone (407) 645-5565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME75528FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Mar 31, 2008 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Apr 21, 2018 Accepting new patients

Locations

766 N Sun Dr
Ste 3000
Lake Mary, FL 32746
Phone (407) 645-5565

12301 Lake Underhill Rd
Ste 223
Orlando, FL 32828
Phone (407) 316-8550

9650 Lake Nona Village Pl
Orlando, FL 32827
Phone (407) 270-5050

7560 Red Bug Lake Rd
Ste 1014
Oviedo, FL 32765
Phone (407) 706-1770

8400 Red Bug Lake Rd
Ste 2060
Oviedo, FL 32765
Phone (407) 645-5565

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

100 N Edinburgh Dr
Ste 200
Winter Park, FL 32792
Phone (407) 645-5565

100 Perth Ln
Winter Park, FL 32792
Phone (407) 645-5565

Interoperability endpoints

  • Direct secure messaging: melissa.moore@wcfnf.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1740282466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N EDINBURGH DR STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924125",
            "telephone_number": "407-645-5565",
            "fax_number": "407-647-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Perth Ln",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327924197",
            "country_code": "US",
            "telephone_number": "407-645-5565",
            "fax_number": "407-647-1135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELISSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "ME75528",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME75528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256559500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.