PHILIP A. MOORE, M.D., P.A. (NPI# 1730478744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730478744 |
| Entity Type | Organization |
| Organization Name | PHILIP A. MOORE, M.D., P.A. |
| Practice Address |
1600 W College St Suite Ll20 Grapevine TX 76051-3580 |
| Practice Telephone | 8174885170 |
| Practice Fax Number | 8174886270 |
| Mailing Telephone | 8174885170 |
| Mailing Fax Number | 8174886270 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |
| Authorized Official Name | DR. PHILIP ALAN MOORE (OWNER) |
| Authorized Official Telephone | 8174885170 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | F1835 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0362543 | 05 |
| Street Address |
1600 W COLLEGE ST SUITE LL20 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-3580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539439 | Timothy J Rost | Obstetrics & Gynecology | 1600 W College St, Ste 340, Grapevine, TX 76051-3577 | 2005-06-22 |
| 1215478326 | Cynthia Mace-motta, Do Pa | Obstetrics & Gynecology | 1600 W College St, Suite 260, Grapevine, TX 76051-3580 | 2017-03-09 |
| 1265984272 | Jeanette Lockett Wright | Nurse Practitioner | 1600 W College St, Suite 640, Grapevine, TX 76051-3580 | 2016-10-26 |
| 1194175851 | Kimberly S. Marshall, M.d., P.a. | Clinic/Center | 1600 W College St, Suite 340, Grapevine, TX 76051-3580 | 2016-06-14 |
| 1134577547 | Kimberly Salinas Marshall Md, Pa | Obstetrics & Gynecology | 1600 W College St, Suite 340, Grapevine, TX 76051-3580 | 2016-05-25 |
| 1073971404 | Carla L. Young, M.d., P.a. | Physical Medicine & Rehabilitation | 1600 W College St, Suite 685, Grapevine, TX 76051-3580 | 2016-01-30 |
| 1598136731 | Sofia A Lieser M D Pllc | Obstetrics & Gynecology | 1600 W College St, Suite 540, Grapevine, TX 76051-3580 | 2015-10-14 |
| 1538590286 | Melanie B. Kinchen, M.d., P.a. | Orthopaedic Surgery | 1600 W College St, Suite 685, Grapevine, TX 76051-3580 | 2013-12-05 |
| 1417383233 | Neurology Associates of Metroplex, P.a. | Psychiatry & Neurology | 1600 W College St, Suite Ll40, Grapevine, TX 76051-3580 | 2013-09-25 |
| 1487094389 | Baylor Health Enterprises Lp | Pharmacy | 1600 W College St, Suite 110, Grapevine, TX 76051-3580 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1891013652 | Ryan Patrick Balogh | Surgery | 1650 W. College Street, Box # 54, Baylor Scott & White Grapevine, Attn Trauma Services, Grapevine, TX 76051-3565 | 2010-05-04 |
| 1962734764 | Reef Royal Gillum | Surgery | 612 E Dallas Rd, Suite 300, Grapevine, TX 76051 | 2010-02-03 |
| 1841434479 | Brittney Lee Culp | Surgery | 1650 W College St # 54, Baylor Scott & White Grapevine, Attn Trauma Services, Grapevine, TX 76051-3565 | 2009-04-27 |
| 1164691192 | Cristina V. Cueto | Surgery | 2050 Hall Johnson Rd, Ste 200, Grapevine, TX 76051-8766 | 2008-02-25 |
| 1346276334 | Robert Larry Elliott | Surgery | 1600 W. College, Suite 440, Grapevine, TX 76051-3584 | 2006-06-23 |
| 1427000637 | Melvin Joseph Elieson | Surgery | 2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051-8766 | 2006-05-16 |
| 1538128889 | Shahid Shafi | Surgery | 1056 Texan Trl, Grapevine, TX 76051-3703 | 2006-03-23 |
| 1669785473 | James Robert Mckenzie | Surgery | 2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051-8766 | 2010-07-21 |
| 1568671436 | Nathan Luther Emerson | Surgery | 1056 Texan Trl, Grapevine, TX 76051-3703 | 2007-05-21 |
| 1659410660 | Michael William Bryan | Surgery | 2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051-8766 | 2007-02-06 |
| Find all providers in GRAPEVINE | ||||
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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.