DR. MICHAEL WILLIAM SHAW MOORE III (NPI# 1508151481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508151481 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WILLIAM SHAW MOORE III |
| Credential | M.D. |
| Practice Address |
10740 N Gessner Rd Ste 310 Houston TX 77064-1240 |
| Mailing Address |
2500 Tanglewilde St Ste 160 Houston TX 77063-2100 |
| Practice Telephone | 2818970416 |
| Practice Fax Number | 2818908908 |
| Mailing Telephone | 7137809660 |
| Mailing Fax Number | 7139743672 |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2016-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Q6968 | TX | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | LL33725 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115582 | Michael Shane Moore | Physical Medicine & Rehabilitation | 2757 Vandy Ct, Montgomery, AL 36110-1339 | 2020-08-17 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1508327537 | Michael D Moore | Nurse Practitioner | 1012 Center Dr, Richmond, KY 40475-3838 | 2019-03-31 |
| 1407393846 | Michael Charles Moore | Counselor | 2123 W 77th St, Los Angeles, CA 90047-2312 | 2017-01-24 |
| 1356884852 | Michael Lemuel Moore II | Counselor | 665 Rotunda Way, Brentwood, CA 94513-5534 | 2016-12-01 |
| 1154778355 | Michael Moore | Pharmacist | 10604 Hinderhill Dr, Bakersfield, CA 93312-7038 | 2016-05-17 |
| 1750747564 | Michael Moore | Developmental Therapist | 220 Pebble Creek Rd, Powell, WY 82435-2271 | 2016-01-08 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1558742734 | Michael B Moore | Nurse Practitioner | 3040 College St, Beaumont, TX 77701-4606 | 2015-06-14 |
| 1033517578 | Michael D. Moore | Hearing Instrument Specialist | 11834 County Road 101, Suite 202, The Villages, FL 32162 | 2014-12-16 |
| Street Address |
10740 N GESSNER RD STE 310 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77064-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124005350 | Randall Walter Brauchle | Otolaryngology | 10740 N Gessner Rd, Ste 310, Houston, TX 77064-1240 | 2005-12-29 |
| 1992153431 | Sandra Salim Abed | Audiologist | 10740 N Gessner Rd, Ste 310, Houston, TX 77064-1240 | 2016-05-25 |
| 1780031385 | Mary Turner | Audiologist | 10740 N Gessner Rd, Ste 310, Houston, TX 77064-1240 | 2016-05-24 |
| 1992181341 | Cali Gunning | Audiologist | 10740 N Gessner Rd, Ste 310, Houston, TX 77064-1240 | 2015-08-08 |
| 1457558546 | Christopher Neal Prichard | Otolaryngology | 10740 N Gessner Rd, Ste. 310, Houston, TX 77064-1240 | 2007-07-02 |
| 1508894650 | Ashley Z Schilling | Audiologist | 10740 N Gessner Rd, Ste 310, Houston, TX 77064-1240 | 2006-06-29 |
| 1336126598 | Daniel Jennings Franklin | Otolaryngology | 10740 N Gessner Rd, Ste 310, Houston, TX 77064-1240 | 2005-12-29 |
| 1699752857 | John Walton Craddock Jr. | Otolaryngology | 10740 N Gessner Rd, Ste 310, Houston, TX 77064-1240 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326664475 | Khanh Pham | Optometrist | 17282 Tx-249, Houston, TX 77064 | 2020-06-24 |
| 1427672047 | 5203 Crest Ridge Drive | Nursing Care | 10050 West Road, Houston, TX 77064 | 2020-05-29 |
| 1467936641 | Krishelle Lagman | Specialist/Technologist | 17314 Tx-249, Ste 230, Houston, TX 77064 | 2018-09-24 |
| 1689192544 | Joshua Lee Trevino | In Home Supportive Care | 10802 Legacy Park Dr #10207, Houston, TX 77064 | 2017-08-31 |
| 1487178224 | Angle Homecare Corporation | Home Health | 10518 Encino Pass Trl, Houston, TX 77064 | 2017-08-02 |
| 1174984538 | Stephanie Branch | Occupational Therapy Assistant | 17200 Tx Hwy 249, Suite 150, Houston, TX 77064 | 2016-03-14 |
| 1710389333 | Ma Corazon Ann Garcia | Registered Nurse | 9506 Summer Run Dr, Houston, TX 77064 | 2014-09-25 |
| 1144640194 | Krystal Sennet | Speech-Language Pathologist | 17200 Tx-249, Suite 150, Houston, TX 77064 | 2014-04-17 |
| 1770908212 | Debra Norvick | Physical Therapy Assistant | 17200 Hwy 249 Suite 150, Houston, TX 77064 | 2014-02-20 |
| 1831442623 | Meagan Rivas | Speech-Language Pathologist | 17200 Hwy 249, 170, Houston, TX 77064 | 2012-10-18 |
| Find all providers in zip 77064 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
| 1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
| 1730568502 | Marcus Hershey | Otolaryngology | 4101 Greenbriar Dr Ste 320, Houston, TX 77098-5296 | 2015-05-26 |
| 1124431994 | Viran Jay Ranasinghe | Otolaryngology | 20207 Chasewood Park Dr Ste 100, Houston, TX 77070-1441 | 2014-06-09 |
| 1043635816 | Eduardo Manuel Diaz | Otolaryngology | 9870 Gaylord Dr Apt 1112, Houston, TX 77024-2672 | 2014-03-03 |
| 1073956074 | Jennifer Dang | Otolaryngology | 6550 Fannin St Ste 1727, Houston, TX 77030-2717 | 2013-04-10 |
| 1295094548 | Daniel Peter Fox | Otolaryngology | 18400 Katy Fwy Ste 470, Houston, TX 77094-1287 | 2012-05-07 |
| 1922373653 | Robert Nicholas Berezoski | Otolaryngology | 7123 Heron Dr, Houston, TX 77087-6723 | 2012-03-13 |
| 1659690493 | Bruce Edison | Otolaryngology | 12010 Cobblestone Dr, Houston, TX 77024-5054 | 2010-05-19 |
| 1033344387 | Kunal Sudhir Jain | Otolaryngology | 6400 Fannin St Ste 2700, Houston, TX 77030-1539 | 2009-05-15 |
| Find all providers in HOUSTON | ||||
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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.