DR. JUDSON B. MOORE (NPI# 1245223114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245223114 |
| Entity Type | Individual |
| Full Name | DR. JUDSON B. MOORE |
| Credential | M.D. |
| Practice Address |
1500 Ross Clark Cir Dothan AL 36301-4754 |
| Mailing Address |
Po Box 729 Dothan AL 36302-0729 |
| Practice Telephone | 3347932663 |
| Practice Fax Number | 3348362247 |
| Mailing Telephone | 3347932663 |
| Mailing Fax Number | 3348362247 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2014-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 26641 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009996985 | 05 | |
| AL | BCBS OF AL 1500 RCC | 515-28492 | 01 |
| GA | 681240743A | 05 | |
| GA | 681240743C | 05 | |
| AL | 121888 | 05 | |
| AL | BCBS OF AL - HEALTHWEST | 511-08313 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851735997 | Judson Adam Moore | Pediatrics | 1 Baylor Plz # Bcm320, Houston, TX 77030-3411 | 2013-04-19 |
| 1871773028 | Judson Ramsay Moore | Physician Assistant | 3015 Squalicum Pkwy, Suite 200, Bellingham, WA 98225-1945 | 2007-11-05 |
| Street Address |
1500 ROSS CLARK CIR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544262 | J. Paul Maddox | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2005-08-02 |
| 1891281911 | Cidney Peel Merritt | Nurse Practitioner | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2018-07-02 |
| 1811482623 | James Daniel Martin | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2018-06-25 |
| 1811480833 | Candice Bass | Nurse Practitioner | 1500 Ross Clark Cir, Dothan, AL 36301 | 2018-06-13 |
| 1801333570 | Amere Hooshmand | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2017-01-19 |
| 1104297415 | Melissa Rae Toombs | Nurse Practitioner | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2015-10-13 |
| 1932588241 | Hunter K Clark | Nurse Practitioner | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2015-05-20 |
| 1003206673 | Jennifer Marie Echols | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2015-02-03 |
| 1952702722 | Courtney Nikole Couture | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2014-09-11 |
| 1790111664 | Steven B Laye | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301 | 2013-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544262 | J. Paul Maddox | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2005-08-02 |
| 1598086662 | Chase D Smith | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2010-06-11 |
| 1679708713 | Jonathan Kelsie Jennings | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2009-05-19 |
| 1477725455 | Ryan Baker Breland | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2008-03-30 |
| 1437368065 | Patrick Daniel Guin | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2007-05-21 |
| 1194934752 | Timothy Ryan Pflugner | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2007-05-21 |
| 1245449800 | Jeremiah J Maddox | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2007-05-21 |
| 1033227871 | Houston Orthopedics, PC | Orthopaedic Surgery | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2006-08-29 |
| 1801898226 | Robert D. Lolley | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2005-08-15 |
| 1073515730 | Timothy M. Haley | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2005-08-12 |
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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.