Active NPI
Richard B Moore MD PA
- Cardiovascular Disease Physician
- Vero Beach, FL
National Provider Identifier
1891962205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MO-0048243
- Legal business name
- RICHARD B MOORE MD PA
- Practice address
- 787 37TH St
Suite E140
Vero Beach, FL 32960-7305 - Phone
- (772) 299-0097
- Fax
- (772) 299-0165
- NPI assigned
- May 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard B Moore, MD
- Title
- Owner
- Phone
- (772) 299-0097
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME-0048243 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | MO-0048243 | FL | Primary |
Addresses
Primary practice location
787 37TH St
Suite E140
Vero Beach, FL 32960-7305
Mailing address
787 37TH St
Suite E140
Vero Beach, FL 32960-7305
Phone (772) 299-0097
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216857600000",
"number": "1891962205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "787 37TH ST",
"address_2": "SUITE E140",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607305",
"telephone_number": "772-299-0097",
"fax_number": "772-299-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 37TH ST",
"address_2": "SUITE E140",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607305",
"telephone_number": "772-299-0097",
"fax_number": "772-299-0165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD B MOORE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2008-07-24",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-299-0097",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME-0048243",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "MO-0048243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.