David Sadler Moore, MD
Individual provider Active NPI Family Medicine Physician · Fairfield, PA
NPI 1891727723 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1891727723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD036168E (PA)
- Practice address
- 4910 Fairfield Rd Ste a
Fairfield, PA 17320-9510 - Phone
- (717) 339-3175
- Fax
- (717) 255-0950
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036168E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD036168E | PA | Yes |
Addresses
Primary practice location
4910 Fairfield Rd Ste a
Fairfield, PA 17320-9510
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 339-3175
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606558 | Other | MD | CAREFIRST MD BCBS |
| 247876 | Other | PA | MAMSI-WMG |
| 5128019 | Other | PA | AETNA |
| 110170 | Other | PA | UNISON-WMG |
| 104603 | Other | PA | JOHNS HOPKINS |
| 518937 | Other | PA | HIGHMARK BLUE SHIELD |
| 0107557 | Medicaid | MD | |
| 20013076 | Other | PA | AMERIHEALTH MERCY-WMG |
| 01889802 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 811 | Other | PA | GEISINGER |
| 0011164777 | Medicaid | PA | |
| P004991 | Other | PA | GATEWAY-WMG |
Other providers in Fairfield, PA
- Kristyn Leigh Kegerreis
- Matthew Kern
- Joanne Barbara Knowlton
- Rose T. Maturo
- Danielle Mikesell-Redding
- Neighborhood Network ABA, LLC
- Bob Harry Reid
- Brenda Riley-Gipe
- Elizabeth Sarah Shank
- Jacqueline A Shriner
All providers in Fairfield, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.