DR. MEL T MOORE (NPI# 1699021733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699021733 |
| Entity Type | Individual |
| Full Name | DR. MEL T MOORE |
| Credential | MD |
| Practice Address |
3014 Blattner Dr Cape Girardeau MO 63703-6361 |
| Practice Telephone | 5732905710 |
| Mailing Telephone | 5732905710 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
2006017606 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3014 BLATTNER DR |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-6361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548516685 | John Jung | Family Medicine | 3014 Blattner Dr, Cape Girardeau, MO 63703-6361 | 2012-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548516685 | John Jung | Family Medicine | 3014 Blattner Dr, Cape Girardeau, MO 63703-6361 | 2012-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728207 | Bryanna Scherer | Family Medicine | 961 Weatherstone Dr, Saint Charles, MO 63304-4520 | 2020-10-20 |
| 1689210924 | Jenna Matthews | Family Medicine | 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685 | 2019-11-21 |
| 1396210852 | Catholic Charities of St. Louis | Family Medicine | 10120 Crest Rd., St. Joachim Catholic Church-attn: Rural Parish Clinic, Cadet, MO 63630 | 2018-10-10 |
| 1437686508 | Paul Anthony Williams Jr. | Family Medicine | 4431 Mcpherson Ave, Saint Louis, MO 63108-2505 | 2017-05-18 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1245494665 | Jeffrey A Wool | Family Medicine | 1531 E 32nd St, Suite 1a, Joplin, MO 64804-2925 | 2008-07-15 |
| 1245407543 | Harry D Haas | Family Medicine | 16703 N Calico Rd, Versailles, MO 65084-6434 | 2008-05-15 |
| 1194902510 | Gary Hubert Campbell | Family Medicine | 21 Conway Springs Dr, Chesterfield, MO 63017-3411 | 2008-01-28 |
| 1568596336 | Mahrukh Khan | Family Medicine | 7491 Big Bend Blvd., St. Louis, MO 63119 | 2007-03-15 |
| 1669525275 | Stefan Scheidler | Family Medicine | 301 South Byp, Kennett, MO 63857-3252 | 2007-01-18 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on DR. MEL T 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.