Organization Active NPI

Richard B Moore MD PA

  • Cardiovascular Disease Physician
  • Vero Beach, FL
National Provider Identifier
1891962205
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MO-0048243 Issued in FL
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

Updated by the provider on Jul 24, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME-0048243 FL
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.