DR. TIMOTHY L MOORE (NPI# 1518939792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518939792 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY L MOORE |
| Credential | DO |
| Practice Address |
3212 Sw 89th St Suite 100 Oklahoma City OK 73159-7956 |
| Practice Telephone | 4053783300 |
| Practice Fax Number | 4053783993 |
| Mailing Telephone | 4053783300 |
| Mailing Fax Number | 4053783993 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2014-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2469 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100147190A | 05 | |
| OK | RAILROAD MEDICARE | P00040576 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830605 | Timothy Moore | Counselor | 150 Queenswood Rd, Bolingbrook, IL 60440-2578 | 2020-08-08 |
| 1881172997 | Timothy Ian Moore IIi | Chiropractor | 5365 Mae Anne Ave Ste B10, Reno, NV 89523-1889 | 2018-07-31 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1629393251 | Timothy O'neal Moore | Driver | 2850 Oak Rd, Pearland, TX 77584-8853 | 2010-04-07 |
| 1376764357 | Timothy Moore | Counselor | 456 Bannock St., Denver, CO 80204 | 2007-05-01 |
| 1932289535 | Timothy Alan Moore | Nurse Practitioner | 115 N Thompson Ln, Murfreesboro, TN 37129-4305 | 2006-10-17 |
| 1184721177 | Timothy Eugene Moore | Physical Therapist | 107 Calumet Center Rd, Lagrange, GA 30241-6705 | 2006-09-20 |
| 1891709465 | Timothy Hamman Moore | Dentist | 2508 Bethel Rd, Columbus, OH 43220-2293 | 2006-07-28 |
| 1578598223 | Timothy James Moore | Dentist | 2603 Crosby Ave, Suite A, Klamath Falls, OR 97603-5776 | 2006-07-11 |
| 1578592903 | Timothy Kevin Moore | Chiropractor | 101 S Mclean Blvd Ste A, South Elgin, IL 60177-1830 | 2006-06-30 |
| Street Address |
3212 SW 89TH ST SUITE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-7956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831483130 | Thomas S Boswell | Family Medicine | 3212 Sw 89th St, Suite 100, Oklahoma City, OK 73159-7957 | 2011-06-03 |
| 1851442016 | Patti D. Latschar | Physician Assistant | 3212 Sw 89th St, Suite 100, Oklahoma City, OK 73159-7956 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669080891 | Prairie Gardens Medical LLC | General Practice | 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 | 2020-07-14 |
| 1053875781 | Oumi Clinics LLC | General Practice | 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 | 2019-01-28 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| 1669726188 | Arrrc, Inc. | General Practice | 2149 S.w. 59th St., Suite 105, Oklahoma City, OK 73119-7003 | 2012-11-06 |
| 1386932986 | George Fred Mcdonnold | General Practice | 2973 Rolling Stone Rd, Oklahoma City, OK 73120-1921 | 2011-07-16 |
| 1770877151 | Michael Shane Johnson | General Practice | 13600 Prairie View Ln, Oklahoma City, OK 73142-5917 | 2011-06-03 |
| 1295027647 | Albert T Nguyen | General Practice | 2636 Sw 28th St, Oklahoma City, OK 73108-5823 | 2011-05-04 |
| 1538458047 | Healthfirst Physician Management | General Practice | 1111 N Dewey, Pre-op Clinic, Oklahoma City, OK 73103 | 2011-04-05 |
| 1114154960 | Joshua Alan Stevens | General Practice | 301 Nw 6th St, Ste 150, Oklahoma City, OK 73102-2823 | 2009-06-19 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
Please comment or provide details below to improve the information on DR. TIMOTHY L MOORE.
| 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.