DR. FORREST O MOORE III (NPI# 1548286693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548286693 |
| Entity Type | Individual |
| Full Name | DR. FORREST O MOORE III |
| Credential | M.D. |
| Practice Address |
2401 S 31st St Temple TX 76508-4917 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547242111 |
| Mailing Telephone | 2547242111 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | M0188 | TX | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
M0188 | TX | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
36453 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 191785 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 485 S Dobson Rd, Suite 201, Chandler, AZ 852245602 | 4807284700 | 4807284747 |
| Street Address |
2401 S 31ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-4917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650651 | Kathleen G Halka | Internal Medicine | 2401 S 31st St, Temple, TX 76508 | 2005-06-22 |
| 1720689060 | Christy Evans | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-11-03 |
| 1588264683 | Giuseppe Tavilla | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-28 |
| 1942809884 | Crystal Das | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-21 |
| 1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
| 1437762069 | Caroline Stanley | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-08-24 |
| 1841809191 | Deanette James | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2020-07-23 |
| 1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
| 1013539758 | Brittany Ellis | Physical Therapist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-15 |
| 1114549508 | Matthew Marvin Galland | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
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| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285766121 | Michelle Lynnne Strong | Surgery | 2401 S 31st St, Temple, TX 76508-4234 | 2007-03-09 |
| 1437147865 | Scott G Sagraves | Surgery | 2401 S 31st St, Temple, TX 76508-2640 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730418898 | Clarisse Djukom | Surgery | 3102 69th St, Galveston, TX 77551-2191 | 2009-12-18 |
| 1851528335 | Erich Paul Gerhardt | Surgery | 910 E Houston St Ste 530, Tyler, TX 75702-8366 | 2009-06-11 |
| 1588752380 | Octavio Javier Garcia Sr. | Surgery | 822 Kinney St, Corpus Christi, TX 78401-3006 | 2006-10-10 |
| 1154355626 | David Lawrence Smith | Surgery | 4001 W 15th St Ste 425, Plano, TX 75093-5848 | 2006-07-10 |
| 1932149010 | James Gordon Cushman | Surgery | 18101 Point Lookout Dr Apt 103, Houston, TX 77058-3568 | 2006-06-07 |
| 1710977525 | Lorne Howar Blackbourne | Surgery | 2300 Round Rock Ave Ste 201, Round Rock, TX 78681-4026 | 2005-10-24 |
| 1811997059 | Scott H Norwood | Surgery | 1020 E Idel St, Tyler, TX 75701-2024 | 2005-07-29 |
| 1124438072 | Nestor Arita | Surgery | 1 Baylor Plz, 404d, Houston, TX 77030-3411 | 2014-04-30 |
| 1871837377 | William Benedict Norbury | Surgery | 815 Market St, Shriners Hospitals for Children - Galveston, Galveston, TX 77550-2725 | 2012-11-21 |
| 1932469178 | Anthony Cahill | Surgery | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2012-05-22 |
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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.