DOUGLAS BOYLSTON MOORE III (NPI# 1396064804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396064804 |
| Entity Type | Individual |
| Full Name | DOUGLAS BOYLSTON MOORE III |
| Other Name | TREY MOORE |
| Credential | MD |
| Practice Address |
901 W Greenwood St Suite 9 Abbeville SC 29620-5717 |
| Practice Telephone | 8643669681 |
| Practice Fax Number | 8643665600 |
| Mailing Telephone | 8643669681 |
| Mailing Fax Number | 8643665600 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32634 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 326347 | 05 | |
| SC | RHC210 | 05 | |
| SC | PC3126 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669710364 | Douglas Brian Moore | Physical Therapist | 18305 Lyles Dr, Hagerstown, MD 21740-9517 | 2013-01-30 |
| 1528206950 | Douglas Robert Moore | Hearing Instrument Specialist | 14840 Military Trl, Delray Beach, FL 33484-8153 | 2009-01-22 |
| 1578621363 | Douglas William Moore | Dentist | 1011 A Ave W, Oskaloosa, IA 52577-0228 | 2006-12-05 |
| 1679574396 | Douglas Loran Moore | Optometrist | 1902 W 19th St, Suite A, Mountain Grove, MO 65711-1287 | 2005-08-03 |
| 1194729053 | Douglas R Moore | Internal Medicine | 25195 Kelly Rd Ste A, Roseville, MI 48066-4909 | 2005-06-09 |
| 1760008460 | Douglas G Moore | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-06-19 |
| 1427280155 | Douglas John Moore | Psychologist | 6611 Rockside Rd, Suite 215, Independence, OH 44131-2365 | 2009-08-13 |
| 1265696876 | Douglas Richard Moore | Internal Medicine | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2008-07-12 |
| 1417121492 | Douglas William Moore | Obstetrics & Gynecology | 1230 E 6th Ave, Suite 2b, Winfield, KS 67156-3143 | 2008-04-21 |
| 1790853422 | Douglas Bernard Moore | Physician Assistant | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2006-12-01 |
| Street Address |
901 W GREENWOOD ST SUITE 9 |
| City | ABBEVILLE |
| State | SC |
| Zip Code | 29620-5717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213622 | Charles A. Kolb | Family Medicine | 901 W Greenwood St, Suite 9, Abbeville, SC 29620-5678 | 2005-05-27 |
| 1083156004 | Abbeville County Memorial Hospital | Surgery | 901 W Greenwood St, Suite 8b, Abbeville, SC 29620-5717 | 2016-11-08 |
| 1104277425 | Ashleigh Wilson Leopard | Nurse Practitioner | 901 W Greenwood St, Suite 8a, Abbeville, SC 29620-5717 | 2016-06-28 |
| 1184851727 | Ashley Elizabeth Harte | Family Medicine | 901 W Greenwood St, Suite 9, Abbeville, SC 29620-5717 | 2009-06-22 |
| 1194985234 | Christopher Lee Oxendine | Family Medicine | 901 W Greenwood St, Suite 9, Abbeville, SC 29620-5717 | 2008-06-12 |
| 1437346913 | Abbeville County Memorial Hospital | Clinic/Center | 901 W Greenwood St, Suite 5, Abbeville, SC 29620-5717 | 2007-09-28 |
| 1174720577 | Pine Tree Family Practice, P. A. | Family Medicine | 901 W Greenwood St, Building 2, Abbeville, SC 29620-5678 | 2007-06-28 |
| 1356463962 | Gonzalez Internal Medicine Associates, P.a. | Internal Medicine | 901 W Greenwood St, Suite 6, Abbeville, SC 29620-5678 | 2007-04-04 |
| 1316072168 | Turning Point Women's Center, Pa | Clinic/Center | 901 W Greenwood St, Suite 5, Abbeville, SC 29620-5678 | 2007-02-22 |
| 1518032663 | Abbeville Ob-gyn | Specialist | 901 W Greenwood St, Abbeville, SC 29620-5678 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851893325 | Janet Nancy Phelps | Registered Nurse | 486 Highway 72 E, Abbeville, SC 29620 | 2018-03-01 |
| 1467961128 | Marisol Palacios-cruz | Assisted Living Facility | 294 Highway 28 Bypass, Abbeville, SC 29620 | 2017-09-26 |
| 1740599703 | Larry Darnell Tompkins | Pharmacist | 763 Highway 28 Bypass, Fred's Pharmacy #1028, Abbeville, SC 29620 | 2010-09-24 |
| 1780861765 | Dixon Chiropractic | Chiropractor | 131-1 Highland Terrace, Abbeville, SC 29620 | 2008-01-22 |
| 1306999636 | Carolina Bone and Joint Clinic | Specialist | 2526 Highway 72 East, Abbeville, SC 29620 | 2007-01-19 |
| 1891877221 | Abbeville Urology | Specialist | 420 Thomson Circle, Abbeville, SC 29620 | 2006-10-19 |
| 1285747949 | Ashley Medical Transport Service | Ambulance | 940 Stevenson Rd, Abbeville, SC 29620 | 2006-08-16 |
| 1699707026 | Mark Marion Horton | Family Medicine | 92 Highway 72 West, Abbeville, SC 29620 | 2006-07-07 |
| 1063449361 | Abbeville County Memorial Hospital | Pharmacy | 420 Thomson Cir, Abbeville, SC 29620 | 2006-06-26 |
| 1265404743 | Abbeville County School District | Clinic/Center | 400 Greenville St., Abbeville, SC 29620 | 2006-02-07 |
| Find all providers in zip 29620 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508104803 | Ohio Valley Physicians | Family Medicine | 112 Whitehall St, Abbeville, SC 29620-2136 | 2013-01-21 |
| 1275829871 | Bridgett Heather Seagroves | Family Medicine | 1822 Monterey Rd, Abbeville, SC 29620-4659 | 2011-06-22 |
| 1154539518 | Claude H Meeks | Family Medicine | 2615 North Drive, Abbeville, LA 70510 | 2007-05-18 |
| 1396836045 | Vermilion Family Care | Family Medicine | 121 Tivoli Street, Suite A, Abbeville, LA 70510-4039 | 2006-09-27 |
| 1699707026 | Mark Marion Horton | Family Medicine | 92 Highway 72 West, Abbeville, SC 29620 | 2006-07-07 |
| 1558321786 | Richard Lewis Bendinger Jr. | Family Medicine | 615 Ozark Rd, Abbeville, AL 36310-2629 | 2006-03-23 |
| 1235116799 | Howard Alleman | Family Medicine | 304a N Hospital Dr, Abbeville, LA 70510-4041 | 2005-12-27 |
| 1902888407 | Richard V. Meadows | Family Medicine | 217 Dothan Rd, Abbeville, AL 36310-2836 | 2005-11-18 |
| 1467446161 | Marilyn Dianne Marshall | Family Medicine | 800 Charity St, Abbeville, LA 70510-5239 | 2005-09-08 |
| 1043213622 | Charles A. Kolb | Family Medicine | 901 W Greenwood St, Suite 9, Abbeville, SC 29620-5678 | 2005-05-27 |
| Find all providers in ABBEVILLE | ||||
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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.