Merwin B Moore III MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2003027560 Issued in MO

Legal business name

MERWIN B MOORE III MD

Practice address

628 Hospital Dr Ste E
Mountain Home, AR 72653-2953

Phone

(870) 424-4710

Fax

(870) 424-4780

NPI assigned

Apr 7, 2006

Last updated

Aug 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Merwin Moore, MDNPI 1386617561

Title

Owner

Phone

(870) 424-4710

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Merwin B Moore, MD

  • Orthopaedic Surgery Physician
  • Mountain Home, AR
  • NPI 1386617561
  Authorized official Same address or phone
• Richard Scott Crouse, FNP

  • Nurse Practitioner
  • Poplar Bluff, MO
  • NPI 1548489453
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1881657260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "479-968-4273",
            "fax_number": "479-968-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 HOSPITAL DR STE E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532953",
            "telephone_number": "870-424-4710",
            "fax_number": "870-424-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERWIN B MOORE III MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MERWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-424-4710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2003027560",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NUMBER",
            "identifier": "0965970002",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "5G003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Melick
• Richard R. Melick, MHPP
• Melissa Dirst-Roberts PLLC
• Abigail Francis Melton
• Mental Health Diagnostics and Teleprescribing
• Mhcnc, Inc. (Care Manor Nursing and Rehab)
• Mhhnc, Inc (Hiram Shaddox Geriatric Health and Rehab)
• Mhpnc, Inc. (Hiram Shaddox Health and Rehab)
• Arlette Michalak
• Michelle M Godfrey PA

• Orthopaedic Surgery Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Orthopaedic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.