M B MOORE MD ORTHOPAEDIC SURGEON PA (NPI# 1639407323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639407323 |
| Entity Type | Organization |
| Organization Name | M B MOORE MD ORTHOPAEDIC SURGEON PA |
| Practice Address |
628 Hospital Dr Suite E Mountain Home AR 72653-2953 |
| Mailing Address |
Po Box 9178 Russellville AR 72811-9178 |
| Practice Telephone | 8704244710 |
| Practice Fax Number | 8704244780 |
| Mailing Telephone | 4799684273 |
| Mailing Fax Number | 4799681363 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | DR. MERWIN B MOORE III (OWNER) |
| Authorized Official Telephone | 8704244710 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 180094002 | 05 | |
| AR | BCBS | 5G230 | 01 |
| Street Address |
628 HOSPITAL DR SUITE E |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894555 | Stephen C. Lattanzi | Internal Medicine | 628 Hospital Dr, Ground Floor, Suite A, Mountain Home, AR 72653-2953 | 2005-07-07 |
| 1265899363 | Baxter County Regional Hospital, Inc | Internal Medicine | 628 Hospital Dr, Suit 1 A, Mountain Home, AR 72653-2953 | 2016-01-20 |
| 1720477086 | Marcella Bobette Bramblett | Nurse Practitioner | 628 Hospital Dr, Ste E, Mountain Home, AR 72653-2953 | 2015-01-09 |
| 1386071785 | Kathleen Joy Prinner | Clinical Nurse Specialist | 628 Hospital Dr, Suite 3e, Mountain Home, AR 72653-2953 | 2013-09-30 |
| 1598030579 | Baxter County Regional Hospital Inc | Clinic/Center | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2012-03-09 |
| 1841422003 | Aaron J Wallace, Md,pllc | Orthopaedic Surgery | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2009-08-20 |
| 1912156068 | Diana Sue Riley | Physician Assistant | 628 Hospital Dr, Suite G-c, Mountain Home, AR 72653-2953 | 2008-09-13 |
| 1013179498 | Mcbride Orthopaedics, Pllc | Orthopaedic Surgery | 628 Hospital Dr, Ground Floor, Suite D, Mountain Home, AR 72653-2953 | 2008-06-27 |
| 1447420997 | Baxter County Regional Hospital Inc | Internal Medicine | 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 | 2008-03-11 |
| 1003086646 | Baxter County Regional Hospital Inc. | Urology | 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
|---|---|---|---|---|
| 1528143484 | Baxter County Regional Hospital | Orthopaedic Surgery | 310 Buttercup Dr Ste A, Mountain Home, AR 72653-2932 | 2006-10-26 |
| 1386617561 | Merwin B Moore | Orthopaedic Surgery | 639 Broadmoor Circle, Mountain Home, AR 72653 | 2006-02-09 |
| 1821321803 | General Orthopaedics, Pa | Orthopaedic Surgery | 310 Buttercup Dr Ste A, Mountain Home, AR 72653-2932 | 2009-09-09 |
| 1841422003 | Aaron J Wallace, Md,pllc | Orthopaedic Surgery | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2009-08-20 |
| 1013179498 | Mcbride Orthopaedics, Pllc | Orthopaedic Surgery | 628 Hospital Dr, Ground Floor, Suite D, Mountain Home, AR 72653-2953 | 2008-06-27 |
| 1255501706 | Baxter County Regional Hospital | Orthopaedic Surgery | 310 Buttercup Dr, Suite A, Mountain Home, AR 72653-2921 | 2008-03-11 |
| 1356560692 | Russell B. Rauls | Orthopaedic Surgery | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2007-04-25 |
| 1992924229 | Jason P Mcconnell | Orthopaedic Surgery | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2007-04-25 |
| 1336159425 | Thomas E Knox | Orthopaedic Surgery | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2006-08-09 |
| 1568477123 | Regional Orthopaedic Health Care | Orthopaedic Surgery | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2006-07-30 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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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.