David Moore, D.O., S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DAVID MOORE, D.O., S.C.

Practice address

3000 N Halsted St Ste 506
Chicago, IL 60657-5194

Phone

(773) 327-3238

Fax

(773) 327-3058

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

David M Moore, D.O.NPI 1942261524

Title

President

Phone

(773) 327-3238

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Moore, D.O.

  • Internal Medicine Physician
  • Saugatuck, MI
  • NPI 1942261524
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962509240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575194",
            "telephone_number": "773-327-3238",
            "fax_number": "773-327-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575194",
            "telephone_number": "773-327-3238",
            "fax_number": "773-327-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MOORE, D.O., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-327-3238",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "01622212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L Fishman MD SC
• David L. Trotter MD PLLC
• David M Brooks PHD Psychological Services PC
• David M Sloven, MDSC
• David Meyerson PHD LLC
• David N Butler MD SC
• David P Ley Consulting LTD.
• David R. Buyer, MD, SC
• David S Behm DDS PC
• David Tartof MD, PHD, Inc

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.