LEE ELLIS MOORE


Address: 501 Baptist Dr Ste 220, Madison, MS 39110-2031
Phone: 6019859120

LEE ELLIS MOORE (NPI# 1699156950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699156950
Entity Type Individual
Full Name LEE ELLIS MOORE
Credential M.D.
Practice Address 501 Baptist Dr Ste 220
Madison
MS 39110-2031
Practice Telephone 6019859120
Mailing Telephone 6019859120
Enumeration Date 2015-06-12
Last Update Date 2020-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 209770 NC Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology 34523 OK Allopathic & Osteopathic Physicians
Y 207WX0120X Ophthalmology
Specialization: Cornea and External Diseases Specialist
27439 MS Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
608 Stanton L Young Blvd, Oklahoma City, OK 731045014 4052717816 4052713013
125 Macnider Hl, Campus Box #7005, Chapel Hill, NC 275990001 9199664468

Other Providers LEE MOORE

NPI Name Taxonomy Address Enumeration
1326432287 Lee Goddard Moore Registered Nurse 1310 Bertha Ave Nw, Bremerton, WA 98312-2607 2015-03-27
1942563051 Lee Ann Moore Pharmacist 815 S College Rd, Wilmington, NC 28403-4409 2012-06-22
1306920913 Lee Richard Moore Jr. Optometrist 311 Prospect Ave, Charles Town, WV 25414-1137 2006-10-24
1255320842 Lee J Moore Dentist 2407 W 104th St, Chicago, IL 60655-1006 2005-10-17
1093709842 Lee Eugene Moore Dentist 106 S Cummings Ln, Washington, IL 61571-3442 2005-09-08
1407398308 Lee Moore Pharmacist 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 2016-11-08
1962728600 Lee Katherine Moore Emergency Medicine 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2010-04-19
1861648248 Lee David Moore Obstetrics & Gynecology 2900 E 29th St, Suite 300, Bryan, TX 77802-2622 2008-08-17
1508859166 Lee S Moore Urology 320 N Oak Ave, Cookeville, TN 38501-2440 2005-08-29

Office Location

Street Address 501 BAPTIST DR STE 220
City MADISON
State MS
Zip Code 39110-2031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356551691 Kevin Kosek Ophthalmology 501 Baptist Dr Ste 220, Madison, MS 39110-2031 2007-05-23
1427218965 Kevin Kosek Eye Clinic, P.a. Ophthalmology 501 Baptist Dr Ste 220, Madison, MS 39110-2031 2008-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134784689 Therapy South - Gluckstadt LLC Physical Therapist 1716 Us 51, Ste N, Madison, MS 39110 2019-05-09
1871054098 Summit Medical Solutions Durable Medical Equipment & Medical Supplies 107 Azalea Street, Madison, MS 39110 2019-03-29
1912488198 Madison Medical Compounding Pharmacy Pharmacy 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 2018-08-24
1679061469 Nuvena Vein Clinic Anesthesiology 120 Fountains Blvd, Madison, MS 39110 2018-04-26
1467960484 Brick City Drugs, LLC Durable Medical Equipment & Medical Supplies 159 Fountains Blvd, Madison, MS 39110 2018-01-11
1093227589 Hannah Monk Hawthorne Counselor 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 2017-10-25
1548786650 Kimberly Allen Pharmacist 1100 Us- 51, Madison, MS 39110 2017-08-21
1891218186 Delta Elizabeth Stark Chiropractor 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 2017-07-19
1861914848 Laura Hartlein Dietitian, Registered 200 Park Circle Dr. #2, Flowood, MS 39110 2017-07-12
1831620608 Ona Irby Occupational Therapist 105 Munich Dr, Madison, MS 39110 2017-03-23
Find all providers in zip 39110

Taxonomy Information

Taxonomy Code 207WX0120X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Cornea and External Diseases Specialist

Taxonomy Definition

An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2018: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164479812 Bo Huang Ophthalmology 2500 N State St, Suite B319, Jackson, MS 39216-4500 2006-05-28

Competitor

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City MADISON
Zip Code 39110

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Dataset Information

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.

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