Patrick Devincent Moore, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

024344 Issued in LA

Practice address

3414 Moss St
Suite F&G
Lafayette, LA 70507-6107

Phone

(337) 706-8986

Fax

(337) 706-8714

NPI assigned

Jul 27, 2005

Last updated

Oct 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PM Investments and Consulting, Inc.

  dba Moore Healthcare Group

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1366659849
  Medicare reassignment NPD Authorized official
• Vermilion Emergency Group LLC

  • Emergency Medicine Physician
  • Kaplan, LA
  • NPI 1215161096
  Medicare reassignment NPD
• Premier Urgent Care

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1538402573
  Authorized official Same address or phone
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  NPD (past)
• Louisiana Urgent Care LLC

  • Urgent Care Clinic/Center
  • Port Allen, LA
  • NPI 1326072018
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1982604419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705200070",
            "telephone_number": "337-706-8986",
            "fax_number": "337-706-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 MOSS ST",
            "address_2": "SUITE F&G",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705076107",
            "telephone_number": "337-706-8986",
            "fax_number": "337-706-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PATRICK",
        "middle_name": "DEVINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "024344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Moore, M.S., LPC
• Keyonna Chavontrel Moore
• Lacie Stafford Moore, PA-C
• Mary Moore, LPC
• Matthew Moore, MD
• Payton Anne Moore
• Shawntel Marie Moore, ARNP, FNP-C
• Shelley Moore
• Taylor Moore
• Ellen Moosa, LOTR

• Family Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.