DR. KEVIN LEE MOORE (NPI# 1154781060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154781060 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LEE MOORE |
| Credential | M.D. |
| Practice Address |
612 Nw 42nd St Oklahoma City OK 73118-7004 |
| Practice Telephone | 4053977159 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 16453 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932516788 | Kevin Duane Moore | Licensed Practical Nurse | 121 Swezey Ln, Middle Island, NY 11953-1547 | 2014-07-14 |
| 1982947164 | Kevin Moore | Counselor | 107 Hill St, Apt. 9, Stoneham, MA 02180-3720 | 2013-04-05 |
| 1891917324 | Kevin P. Moore | Marriage & Family Therapist | 7200 W 13th St N Ste 9, Wichita, KS 67212-2968 | 2007-05-03 |
| 1255484036 | Kevin Brian Moore | Chiropractor | 1004 Butler Ave, New Castle, PA 16101-4282 | 2007-01-18 |
| 1275690323 | Kevin Lee Moore | Dentist | 160 S 2nd Ave, Suite B, Clarion, PA 16214-2444 | 2007-01-01 |
| 1225199706 | Kevin Brent Moore | Dentist | 95 Stonecoal Road, Garrett, KY 41630 | 2006-12-12 |
| 1447319645 | Kevin Moore | Counselor | 314 Maxwell Rd Ste 400, Alpharetta, GA 30004-2045 | 2006-12-06 |
| 1619040037 | Kevin R Moore | Case Manager/Care Coordinator | 10528 Nw 57th Ct, Coral Springs, FL 33076-2810 | 2006-11-15 |
| 1023069176 | Kevin Joel Moore | Chiropractor | 3420 Elmore Ave, Davenport, IA 52807-2594 | 2006-05-13 |
| 1740270016 | Kevin E Moore | Family Medicine | 919 Chambers Blvd Ste D, Bardstown, KY 40004-2574 | 2005-10-26 |
| Street Address |
612 NW 42ND ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222038 | Miloni Mukesh Parmar | Internal Medicine | 800 Stanton L Young Blvd Aat 6300, Oklahoma City, OK 73104-5018 | 2020-07-16 |
| 1376181479 | Meraki Wellness Group, LLC | Internal Medicine | 1211 N Shartel Ave Ste 802, Oklahoma City, OK 73103-2425 | 2019-12-19 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1407349442 | Sarah Monther Nimri | Internal Medicine | 1200 Childrens Ave Ste 14046, Oklahoma City, OK 73104-4637 | 2018-06-13 |
| 1003343229 | Jesintha Stephenson | Internal Medicine | 800 Stanton L Young Blvd # 6300, Oklahoma City, OK 73104-5018 | 2017-05-18 |
| 1982149100 | Mary K Mercer | Internal Medicine | 5700 N Portland Ave Ste 102, Oklahoma City, OK 73112-1662 | 2016-12-24 |
| 1285087536 | Isma Nusrat Javed | Internal Medicine | 900 N Stonewall Ave Apt 86, C-20, Oklahoma City, OK 73117-2851 | 2016-07-21 |
| 1740632181 | Samid Muhammad Farooqui | Internal Medicine | 101 Ne 53rd St Apt 1917, Oklahoma City, OK 73105-1847 | 2016-07-11 |
| 1285082891 | Syeda Dania Shujaat | Internal Medicine | 920 Stanton L Young Blvd # Wp2040, Oklahoma City, OK 73104-5036 | 2016-05-25 |
| 1912352162 | Talal Zahoor | Internal Medicine | 505 E Sheridan Ave Apt 2141, Oklahoma City, OK 73104-6718 | 2016-04-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
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| 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.