KENNETH P MOORE (NPI# 1700094240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700094240 |
| Entity Type | Individual |
| Full Name | KENNETH P MOORE |
| Credential | M.D. |
| Practice Address |
801 N Bedell Ave Del Rio TX 78840-4112 |
| Mailing Address |
Po Box 437 San Antonio TX 78292-0437 |
| Practice Telephone | 8307031733 |
| Practice Fax Number | 8307031733 |
| Mailing Telephone | 2105586288 |
| Mailing Fax Number | 2105586289 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | P0100 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134490766 | Kenneth Moore | Skilled Nursing Facility | 751 Orange Ave, Saint Cloud, FL 34769-3063 | 2012-01-12 |
| 1376722348 | Kenneth Jerald Moore | Social Worker | 6906 S Utica Pl, Tulsa, OK 74136-5158 | 2007-10-26 |
| 1891899258 | Kenneth Lawrence Moore | Psychiatry & Neurology | 12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904 | 2006-09-07 |
| 1669409967 | Kenneth Earl Moore | Specialist/Technologist | 901 Lincoln Rd, Idabel, OK 74745-7802 | 2006-06-26 |
| 1326096470 | Kenneth Edward Moore | Physical Medicine & Rehabilitation | Mcguire Vamc, 1201 Broad Rock Rd, Richmond, VA 23249 | 2006-05-04 |
| 1013995323 | Kenneth Levi Moore IIi | Nurse Practitioner | 5981 Far Hills Ave, Dayton, OH 45429-2211 | 2006-01-06 |
| 1245889021 | Kenneth Moore | Dentist | 611 S George Nigh Expy, Mcalester, OK 74501-7277 | 2019-09-05 |
| 1144796103 | Kenneth Moore | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-10-17 |
| 1568963627 | Kenneth Sheppard Moore | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2018-02-23 |
| 1710358445 | Kenneth Steven Moore | Psychologist | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2015-10-07 |
| Street Address |
801 N BEDELL AVE |
| City | DEL RIO |
| State | TX |
| Zip Code | 78840-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702732 | Val Verde Hospital Corporation | Hospice Care, Community Based | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2005-07-07 |
| 1235501966 | Open Vista Emergency Physicians, Pllc | Physician Assistant | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2015-10-21 |
| 1669843512 | Orion Emergency Physicians, Pllc | Physician Assistant | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2015-10-16 |
| 1457761819 | Sergio Barksdale | Emergency Medicine | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2014-05-06 |
| 1831412964 | Jason Macdonald | Physician Assistant | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2010-03-03 |
| 1235460254 | Val Verde Regional Medical Center, Inc. | Medicare Defined Swing Bed Unit | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2010-01-15 |
| 1194055202 | Val Verde Regional Medical Center, Inc. | Hospice Care, Community Based | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2010-01-12 |
| 1790940211 | Kathryn Kaye Rhodes | Physician Assistant | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2008-07-24 |
| 1356509004 | Mohan Ravindra Gadam | Family Medicine | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2008-05-29 |
| 1902924301 | Jed Johnson | Dietitian, Registered | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104363431 | Irma Chapa | Pharmacist | 200 Vetrans Blvd, Del Rio, TX 78840 | 2017-01-25 |
| 1538605621 | Maternity Care Center | Advanced Practice Midwife | 1308 Las Vacas St, Del Rio, TX 78840 | 2017-01-12 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1902232259 | Ruben E Mora | Dentist | 551 W Cantu Rd., Del Rio, TX 78840 | 2013-09-18 |
| 1326489758 | Javier Rodriguez-sanchez | Internal Medicine | 2201 N Bedell Ave Ste E, Del Rio, TX 78840 | 2013-07-15 |
| 1205111267 | Raymond Keith Blottin | Counselor | 114 West Losoya, Serenity Counseling, Del Rio, TX 78840 | 2011-10-20 |
| 1194011072 | Nicole Alexcine Deboer | Physician Assistant | 913 S. Main St., United Medical Centers, Del Rio, TX 78840 | 2011-06-20 |
| 1205125713 | Del Rio Ambulance LLC | Ambulance | 126 W. Ogden St., Del Rio, TX 78840 | 2011-04-05 |
| 1285880476 | Luis Carlos Salinas | Obstetrics & Gynecology | 3614 Cocobolo Street, Del Rio, TX 78840 | 2008-08-07 |
| 1417158239 | Heart Specialists of Texas Pa | Internal Medicine | 1109 Ave K, Del Rio, TX 78840 | 2007-05-30 |
| Find all providers in zip 78840 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360962 | Shamoon Doctor, Md Pa | Urology | 612 N Bedell Ave Ste A, Del Rio, TX 78840-4173 | 2020-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
| 1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1649780453 | Paul Bradley Md Pllc | Urology | 703 E Marshall Ave Ste 4009, Longview, TX 75601-5500 | 2017-10-06 |
| 1154857977 | Darren M. Chapman M.d., Pllc | Urology | 10970 Shadow Creek Pkwy # 255, Pearland, TX 77584-0100 | 2017-05-11 |
| 1114308467 | Kashyap Shatagopam | Urology | 1900 Scenic Dr Ste 2222, Georgetown, TX 78626-7703 | 2015-06-12 |
| 1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
| 1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
| 1366853152 | Lawrence Tsai | Urology | 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 | 2014-05-14 |
| 1558780031 | Rachel Sosland | Urology | 4207 James Casey St Ste 107, Austin, TX 78745-1192 | 2014-04-10 |
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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.