Individual provider Active NPI

William C Moore, MD

  • Pain Medicine (Anesthesiology) Physician
  • Fort Worth, TX
National Provider Identifier
1891736138
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
M1948 Issued in TX
Practice address
6900 Harris Pkwy
Suite 300
Fort Worth, TX 76132-4255
Phone
(817) 292-8585
Fax
(855) 810-8998
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X M1948 TX Primary

Addresses

Primary practice location

6900 Harris Pkwy
Suite 300
Fort Worth, TX 76132-4255

Mailing address

4730 N Habana Ave
Ste 204
Tampa, FL 33614-7148
Phone (813) 549-2134

Other identifiers 3

IdentifierTypeStateIssuer
182329608MedicaidTX
182329606MedicaidTX
182329607MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061030000115 TX Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 7012914377 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Texas Medical School at San Antonio, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton County Hospital DistrictGroup PAC ID 2062326234, 24 clinicians
Glen Rose Healthcare, IncGroup PAC ID 6709986656, 12 clinicians

Practice addresses (Care Compare)

400 N Brown St
Hamilton, TX 76531-1518
Phone (254) 386-1600

409 Glenwood St
Suite 500
Glen Rose, TX 76043-4933
Phone (254) 897-2202

Hospital & facility affiliations

  • Hamilton General Hospital Hospital, Hamilton, TX, CCN 451392
  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton County Hospital District CurrentSince Jul 26, 2022 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Hamilton County Hospital District CurrentSince Jul 26, 2022 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Jan 1, 2022 Accepting new patients
Premier Pain Centers PA Pain Medicine CurrentSince Sep 19, 2023 Accepting new patients
Somervell County Hospital District Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Jan 1, 2022 Accepting new patients
Herrera Medical Group of Bedford & Associates CurrentSince Jul 15, 2023 Accepting new patients
Glen Rose Healthcare, Inc CurrentSince Jun 9, 2023 Accepting new patients
Physicians and Allied Health Professionals Group, PA Pain Medicine Past Accepting new patients
Oakwood Medical Services, PLLC Past Accepting new patients
Hamilton County Hospital District Past Accepting new patients
Veritas Anesthesia, LLP Pain Medicine Past Accepting new patients
Capstone Pain Management PLLC Pain Medicine PastSince Apr 1, 2008 Accepting new patients
Texas Pain Relief Group PLLC Past Accepting new patients
Domicilliary Service LLC Past Accepting new patients

Locations

1305 Airport Fwy
Ste 302
Bedford, TX 76021
Phone (817) 283-6995

7201 Hawkins View Dr
Ste 151
Fort Worth, TX 76132
Phone (817) 263-7200

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

409 Glenwood St
#500
Glen Rose, TX 76043
Phone (254) 897-1471

409 Glenwood St
Ste 500
Glen Rose, TX 76043
Phone (254) 897-2202

2800 Village Rd
Ste 108
Granbury, TX 76049
Phone (817) 573-0444

400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600

1323 E Franklin St
Ste 102
Hillsboro, TX 76645
Phone (254) 362-2205

571 W Main St
Ste 120
Lewisville, TX 75057
Phone (972) 221-3500

1402 E Broad St
Mansfield, TX 76063
Phone (817) 477-2176

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

2071 N Collins Blvd
Ste 100
Richardson, TX 75080
Phone (469) 454-6966

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1948/brand/1/csg/1/fhir/r4
  • Direct secure messaging: william.moore.1@1948.direct.athenahealth.com
  • Direct secure messaging: william.moore@ppoa.directbygreenway.com
  • Direct secure messaging: william.moore@direct.myteamcare.com
  • Direct secure messaging: williammoore@grmf.medalliesdirect.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1891736138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE",
            "address_2": "STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147148",
            "telephone_number": "813-549-2134",
            "fax_number": "813-864-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 HARRIS PKWY",
            "address_2": "SUITE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324255",
            "telephone_number": "817-292-8585",
            "fax_number": "855-810-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M1948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182329608",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182329606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182329607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.