Active NPI
Michael Allan Moore, M.D.
- Hypertension Specialist Physician
- Danville, VA
National Provider Identifier
1871863514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hypertension Specialist Physician
- License
- 30582
- Practice address
- 142 S Main St
Danville, VA 24541-2922 - Phone
- (434) 799-2153
- NPI assigned
- Jan 11, 2012
- Last updated
- Jan 11, 2012
- 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 |
|---|---|---|---|---|
| Hypertension Specialist Physician | 207RH0005X | 30582 | VA | Primary |
Addresses
Primary practice location
142 S Main St
Danville, VA 24541-2922
Mailing address
142 S Main St
Danville, VA 24541-2922
Phone (434) 799-2153
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30582 | VA | MD | Hypertension Specialist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danville Physician Practices LLC | Past | Accepting new patients | |
| Danville Urologic Clinic Inc | Past | Accepting new patients | |
| Piedmont Day Surgery Center Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
-
dba Southside Urology & Nephrology
- Nephrology Physician
- Danville, VA
- NPI 1619927100
-
- Ambulatory Surgical Clinic/Center
- Danville, VA
- NPI 1821064031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1871863514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245412922",
"telephone_number": "434-799-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245412922",
"telephone_number": "434-799-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MICHAEL",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0005X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hypertension Specialist",
"state": "VA",
"license": "30582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.