Robert Willard Moore, MD

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

14794 Issued in SC

Practice address

1498 Freedom Blvd
Florence, SC 29505-6077

Phone

(843) 676-2720

Fax

(843) 676-2722

NPI assigned

Nov 15, 2005

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hand Surgery Associates

  • Specialist
  • Florence, SC
  • NPI 1053380501

  O20100930007411

  Same enrollment

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.

• Pee Dee Orthopedic Assoc

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1700887742
  NPD (past)
• Pee Dee Orthopedic Assoc

  • Orthopaedic Surgery Physician
  • Laurinburg, NC
  • NPI 1619273802
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1750363867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 FREEDOM BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056077",
            "telephone_number": "843-676-2720",
            "fax_number": "843-676-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 FREEDOM BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056077",
            "telephone_number": "843-676-2720",
            "fax_number": "843-676-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "WILLARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "14794",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "SC",
            "license": "14794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147941",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "P00110451",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Le Andrew Moore, MA
• Gini G Moore, NP
• Jordan Taylor Moore
• Pamela Bell Moore, BS
• Philip C Moore, MD
• Rosalyn Moore, CAS, CC
• Sarah Armstrong Moore
• Tammy D. Moraska, CRNA
• Joshua Enrique Moreno
• Rosemary Lynne Morgan-Lee, RPT

• Orthopaedic Hand Surgery Physician in Florence, SC
• Providers in Florence, SC by specialty
• Orthopaedic Hand Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.