MR. ROBERT WALLACE MOORE JR. (NPI# 1487918413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487918413 |
| Entity Type | Individual |
| Full Name | MR. ROBERT WALLACE MOORE JR. |
| Credential | M.D. |
| Practice Address |
4563 Landfall Ct Destin FL 32541-5313 |
| Practice Telephone | 8506505784 |
| Mailing Telephone | 8506505784 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 6287 | AL | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
6287 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868294 | Robert John Moore | Social Worker | 1633 Fairmount Ave, Philadelphia, PA 19130-2352 | 2019-06-02 |
| 1124683685 | Robert Hart Moore | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency 980118, 1250 E. Marshal Street, Richmond, VA 23298-0118 | 2019-05-09 |
| 1205354511 | Robert Lee Moore | Student in an Organized Health Care Education/Training Program | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-07 |
| 1083091201 | Robert Moore | Specialist/Technologist | 11600 Mary Catherine Dr, Clinton, MD 20735-1040 | 2015-04-27 |
| 1497150015 | Robert Moore | Audiologist | Dept of Speech Pathology and Audiology, Hahn 1119, University of South Alabama, Mobile, AL 36688-0001 | 2014-10-24 |
| 1780020388 | Robert R Moore | Counselor | 88 Beckwith Dr, Galesburg, MI 49053-9604 | 2013-05-22 |
| 1114262581 | Robert Daniel Moore | Hearing Instrument Specialist | 1911 S Main Street, Corbin, KY 40701 | 2012-12-11 |
| 1972804102 | Robert Stephen Moore | Pharmacist | 671 Rancho Santa Fe Road, San Marcos, CA 92078-3973 | 2010-11-04 |
| 1942539978 | Robert Andrew Moore | Family Medicine | 11848 Goshen Ave, 301, Los Angeles, CA 90049-6336 | 2009-12-22 |
| 1053543322 | Robert Charles Moore | Pharmacist | 17452 Kahiltna Dr, Eagle River, AK 99577-8127 | 2009-08-20 |
| Street Address |
4563 LANDFALL CT |
| City | DESTIN |
| State | FL |
| Zip Code | 32541-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
| 1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
| 1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
| 1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
| 1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
| 1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
| 1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
| 1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
| 1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
| 1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
| Find all providers in zip 32541 | ||||
| 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 |
|---|---|---|---|---|
| 1689900243 | Douglas Dwight Porter | Orthopaedic Surgery | 403 Coleman Pt, Destin, FL 32541-3407 | 2009-11-02 |
| 1538229273 | Bluewater Orthopedics Pa | Orthopaedic Surgery | 7720 Hwy 98 W, Suite 200, Destin, FL 32550-7321 | 2006-12-11 |
| 1891798617 | Charles H Wingo | Orthopaedic Surgery | 155 Crystal Beach Dr Ste 200, Destin, FL 32541-3588 | 2005-05-24 |
| 1336400704 | Spine Institute On The Emerald Coast | Orthopaedic Surgery | 155 Crystal Beach Dr Ste 200, Destin, FL 32541-3588 | 2012-06-01 |
| 1386622348 | Mark B Dekutoski | Orthopaedic Surgery | 155 Crystal Beach Dr Ste 200, Destin, FL 32541-3588 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1306451778 | Daniel Alfonso Moreno | Orthopaedic Surgery | 7622 Sw 129th Pl, Miami, FL 33183-4251 | 2020-09-13 |
| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1659998904 | Orthopaedic Associates, Pa | Orthopaedic Surgery | 5300 S Ferdon Blvd, Crestview, FL 32536-5235 | 2020-07-02 |
| 1912529868 | Edward Frank Spievack | Orthopaedic Surgery | 30 W High Point Rd, Stuart, FL 34996-7020 | 2020-05-14 |
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1174156848 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 10141 Big Bend Rd Ste 201, Riverview, FL 33578-7421 | 2020-02-20 |
| 1104459874 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1901 Haverford Ave Ste 107, Sun City Center, FL 33573-5200 | 2020-02-20 |
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
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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.