JOHN D MOORE (NPI# 1174707897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174707897 |
| Entity Type | Individual |
| Full Name | JOHN D MOORE |
| Credential | MD |
| Practice Address |
3344 N Futrall Dr Fayetteville AR 72703-4057 |
| Mailing Address |
Po Box 1523 Fayetteville AR 72702-1523 |
| Practice Telephone | 4795218200 |
| Practice Fax Number | 4795827310 |
| Mailing Telephone | 4795218200 |
| Mailing Fax Number | 4795827310 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
E-4026 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 154303001 | 05 | |
| AR | AR BC/BS | 5M890 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
| 1609218379 | John Easter Moore Jr. | Social Worker | 2032 Sheffield Rd, Oklahoma City, OK 73120-4926 | 2013-07-23 |
| 1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
| 1487915799 | John S Moore | Registered Nurse | 26300 Ford Rd # 160, Dearborn Heights, MI 48127-2854 | 2012-06-04 |
| 1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
| 1205130176 | John Robert Moore | Family Medicine | 9715 Hurlbut Rd, Remsen, NY 13438-4621 | 2011-01-06 |
| 1548462385 | John William Moore IIi | Internal Medicine | 2643 Patterson Rd Ste 605, Grand Junction, CO 81506-1937 | 2007-06-04 |
| 1962612317 | John D Moore | Hearing Instrument Specialist | 7050 W Palmetto Park Rd Ste 20, Boca Raton, FL 33433-3462 | 2007-05-23 |
| Street Address |
3344 N FUTRALL DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308320 | Theodore N. Hronas | Radiology | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2005-10-03 |
| 1376150649 | Melissa Jones | Physical Therapy Assistant | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2020-09-30 |
| 1265999007 | Jamie S Young | Nurse Practitioner | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2019-02-28 |
| 1700343209 | Shelby L. Cochran | Nurse Practitioner | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2019-02-21 |
| 1164956199 | Lindsey R Sabatini | Clinical Nurse Specialist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2017-04-17 |
| 1275089658 | Emily Jane Edwards | Physical Therapy Assistant | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2016-08-26 |
| 1720478860 | Colby Beth Parks | Physical Therapy Assistant | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2015-01-28 |
| 1326445578 | Katherine L Spears | Registered Nurse | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2014-12-03 |
| 1104226075 | Natalie C Rowe | Physical Therapist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2014-08-28 |
| 1609206325 | Medical Associates of Northwest Arkansas Pa | Physical Therapist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2013-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1114482379 | Medical Associates of Northwest Arkansas Pa | Internal Medicine | 3344 N Futrall Dr Ste B, Fayetteville, AR 72703-4057 | 2019-02-01 |
| 1376638940 | Eden Agustin Suguitan | Internal Medicine | 4361 Ferncreek Drive, Fayetteville, NC 28314 | 2006-10-03 |
| 1053315820 | John E Burney | Internal Medicine | 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214-4537 | 2005-06-09 |
| 1700287869 | Cumberland County Hospital System, Inc. | Internal Medicine | 1638 Owen Dr, Attn: Managed Care Planning, Fayetteville, NC 28304-3424 | 2014-09-09 |
| 1053612069 | Kevin J O'keefe | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703 | 2010-11-07 |
| 1790963759 | Joseph Bernard Henderson | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2008-02-01 |
| 1619186228 | Niraj Khandelwal | Internal Medicine | 1265 Highway 54 W, Suite 402, Fayetteville, GA 30214-4548 | 2007-05-21 |
| 1508882325 | Arvind Kumar | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-07-14 |
| 1487670287 | John Richard Jones | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-07-14 |
| 1548293855 | William F. Vorder Bruegge | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-07-09 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.