Individual provider Active NPI

Myrtle E Goore, MD

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1942366745
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4149 Issued in AL
Practice address
3184 Parliament Cir
Suite 201
Montgomery, AL 36116-7271
Phone
(334) 244-1161
Fax
(334) 244-8772
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4149 AL Primary

Addresses

Primary practice location

3184 Parliament Cir
Suite 201
Montgomery, AL 36116-7271

Mailing address

3184 Parliament Cir
Suite 201
Montgomery, AL 36116-7271
Phone (334) 244-1161

Other identifiers 2

IdentifierTypeStateIssuer
51010321OtherALBLUE CROSS
000010321MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050103000939 AL Practitioner - Family Practice 1254399520 Practice locations: Montgomery, AL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3184 Parliament Cir
Suite 201
Montgomery, AL 36116-7271

3184 Parliament Circle
Suite 201
Montgomery, AL 36116-7271
Phone (334) 265-1161

7209 Copperfield Dr
Montgomery, AL 36117-7101
Phone (334) 244-1161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4149ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle E Goore, MD Family Medicine PastSince Jan 1, 1990 Accepting new patients

Networks

  • bcbs alabama network 01A0
  • bcbs alabama network 01C0
  • bcbs alabama network 01G0
  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAIBA/Endpoint/HHAIBA

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1942366745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 PARLIAMENT CIR",
            "address_2": "SUITE 201",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167271",
            "telephone_number": "334-244-1161",
            "fax_number": "334-244-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 PARLIAMENT CIR",
            "address_2": "SUITE 201",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167271",
            "telephone_number": "334-244-1161",
            "fax_number": "334-244-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOORE",
        "first_name": "MYRTLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "4149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51010321",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010321",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.