Active NPI
Rufus William Moore Jr., M.D.
- Internal Medicine Physician
- Fort Campbell, KY
National Provider Identifier
1801880620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A031507
- Practice address
- 650 Joel Dr
Blanchfield Army Community Hospital,Rm3Cb39
Fort Campbell, KY 42223-5318 - Phone
- (270) 798-8400
- Fax
- (270) 956-0180
- NPI assigned
- Sep 8, 2005
- Reactivated
- Dec 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A031507 | CA | Primary |
Addresses
Primary practice location
650 Joel Dr
Blanchfield Army Community Hospital,Rm3Cb39
Fort Campbell, KY 42223-5318
Mailing address
650 Joel Dr
Blanchfield Army Community Hospital,Rm3Cb39
Fort Campbell, KY 42223-5318
Phone (270) 798-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A031507 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Hospitalist Network Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| Caremore Medical Group Inc | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Orange, CA
- NPI 1790880458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1801880620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"address_2": "BLANCHFIELD ARMY COMMUNITY HOSPITAL,RM3CB39",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "270-798-8400",
"fax_number": "270-956-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"address_2": "BLANCHFIELD ARMY COMMUNITY HOSPITAL,RM3CB39",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "270-798-8400",
"fax_number": "270-956-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "RUFUS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2009-12-08",
"deactivation_date": "2007-07-17",
"reactivation_date": "2007-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A031507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.