DR. TRUDY J MOORE (NPI# 1023099488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023099488 |
| Entity Type | Individual |
| Full Name | DR. TRUDY J MOORE |
| Credential | MD |
| Practice Address |
7011 Millennium Dr Fort Smith AR 72916-8825 |
| Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C-5845 | AR | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
16333 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730226515 | Trudy Ann Moore | Family Medicine | 265 Highway 15 S, Jackson, KY 41339-7370 | 2007-01-31 |
| Street Address |
7011 MILLENNIUM DR |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72916-8825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442506 | Emerald Asher | Massage Therapist | 14522 Us 71, Fort Smith, AR 72916 | 2020-09-22 |
| 1598324220 | Riley Farm Dental & Braces, Pllc | Clinic/Center | 5901 Riley Park Dr., Suite Q, Fort Smith, AR 72916 | 2019-06-06 |
| 1629565072 | Womens Center for Health and Wellness, Pllc | Obstetrics & Gynecology | 8101 Mcclure Dr., Suite 100, Fort Smith, AR 72916 | 2018-04-20 |
| 1750827036 | Angelisa Lambert | Nurse Practitioner | 12300 Old Highway 71 S, Ste A, Fort Smith, AR 72916 | 2017-01-11 |
| 1285946004 | William Justin Hayes Md Pa | Clinic/Center | 920 S. Hwy 45, Bonanza, AR 72916 | 2010-07-09 |
| 1255517066 | Joshua R Wilkinson | Pediatrics | 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 | 2008-01-11 |
| 1689615445 | Twin Rivers Respiratory Care, Inc. | Durable Medical Equipment & Medical Supplies | 6119 Highway 45, 4, Fort Smith, AR 72916 | 2006-06-10 |
| 1891735098 | William Justin Hayes | Family Medicine | 11300 Roberts Blvd, Chaffee Crossing Clinic, Fort Smith, AR 72916 | 2006-06-07 |
| 1174184923 | James Brogan Lopez | Dentist | 5901 Riley Park Drive, Fort Smtih, AR 72916 | 2019-06-24 |
| 1588121065 | Premier Pediatrics Pllc | Pediatrics | 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 | 2019-02-21 |
| Find all providers in zip 72916 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295703908 | William Thomas Huskison | Radiology | 2322 S 57th St, Fort Smith, AR 72903-3813 | 2006-03-09 |
| 1922078146 | Laura G Moore-farrell | Radiology | 5707 Jenny Lind Rd, Fort Smith, AR 72908-7435 | 2006-01-23 |
| 1588003461 | Whitney Logan Bell | Radiology | 5707 Jenny Lind Rd, Fort Smith, AR 72908-7435 | 2013-06-24 |
| 1609194455 | Geoffrey L Paddack | Radiology | 5707 Jenny Lind Rd, Fort Smith, AR 72908-7435 | 2010-05-04 |
| 1811159833 | Jennifer Fox Wood | Radiology | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2008-07-01 |
| 1336357623 | Clint Edwin Wood | Radiology | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2007-05-18 |
| 1518912138 | Adam Craig Gold | Radiology | 5707 Jenny Lind Rd, Fort Smith, AR 72908-7435 | 2006-05-23 |
| 1770538175 | Lipu Kong | Radiology | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2006-05-23 |
| 1750349247 | R and A Radiology LLP | Radiology | 310 Lexington Ave, Fort Smith, AR 72901-3843 | 2006-05-03 |
| 1235192493 | Samuel J Paglianite | Radiology | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2006-04-10 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72916 |
Please comment or provide details below to improve the information on DR. TRUDY J MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.