MARCIA MONROE MOORE (NPI# 1760554521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760554521 |
| Entity Type | Individual |
| Full Name | MARCIA MONROE MOORE |
| Credential | MD |
| Practice Address |
4140 W Memorial Rd Ste 408 Oklahoma City OK 73120-8300 |
| Mailing Address |
Po Box 21647 Tampa FL 33622-1647 |
| Practice Telephone | 5804363980 |
| Practice Fax Number | 5804216205 |
| Mailing Telephone | 8135305043 |
| Mailing Fax Number | 8135305043 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2003031471 | MO | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 28726 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 206304701 | 05 | |
| MO | RAILROAD MEDICARE | P00390780 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912227505 | Marcia Dige Moore | Registered Nurse | 1351 Collyer St, Longmont, CO 80501-3310 | 2010-06-04 |
| 1821253816 | Marcia Mae Moore | Optometrist | 5001 Bissonnet St, Suite 107, Bellaire, TX 77401-4025 | 2008-07-19 |
| 1194739102 | Marcia S. Moore | Psychologist | 4140 W Memorial Rd, Ste. 221, Oklahoma City, OK 73120-8366 | 2006-07-27 |
| 1104875269 | Marcia Ann Moore | Internal Medicine | 1601 Esplanade, Suite 3, Chico, CA 95926 | 2006-05-08 |
| Street Address |
4140 W MEMORIAL RD STE 408 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832607 | Christian Ellis | Neuromusculoskeletal Medicine & OMM | 4140 W Memorial Rd, Ste. 621, Oklahoma City, OK 73120-8366 | 2005-06-22 |
| 1265989982 | Stacey Amanda Lytle | Nurse Practitioner | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2016-09-10 |
| 1174983670 | Homer Clark Hyde Md, PC | Urology | 4140 W Memorial Rd, Suite 422, Oklahoma City, OK 73120-8366 | 2016-02-26 |
| 1508240516 | Nicole Greiner | Nurse Practitioner | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2015-07-20 |
| 1801219225 | Steven D. Meltzner, Dmd, Pllc | Dentist | 4140 W Memorial Rd, Suite 201, Oklahoma City, OK 73120-8366 | 2014-01-22 |
| 1255673349 | Kathryn Marie Feisal | Physician Assistant | 4140 W Memorial Rd, Suite 208, Oklahoma City, OK 73120-8366 | 2013-03-26 |
| 1609137330 | Wesley Vaughan | Obstetrics & Gynecology | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2012-05-29 |
| 1003182718 | Imari Elena Moore | Obstetrics & Gynecology | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2012-03-27 |
| 1750675971 | Amanda Titus | Internal Medicine | 4140 W Memorial Rd, Suite 518, Oklahoma City, OK 73120-8366 | 2011-06-06 |
| 1396064176 | Vincent Olorunnisomo | Urology | 4140 W Memorial Rd, Suite 208, Oklahoma City, OK 73120-8366 | 2010-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| 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 |
|---|---|---|---|---|
| 1639642655 | Okc Surgicalists Pllc | Surgery | 4140 W Memorial Rd Ste 408, Oklahoma City, OK 73120-8300 | 2019-01-03 |
| 1811381247 | Mohamad Sidani | Surgery | 800 Stanton L Young Blvd # 9432, Oklahoma City, OK 73104-5018 | 2015-03-24 |
| 1720425390 | Jonathan Green | Surgery | 1200 Everett Dr Ste 2320, Oklahoma City, OK 73104-5047 | 2013-05-23 |
| 1407290844 | Celia Yen Quang | Surgery | 800 Stanton L Young Blvd Ste 9000, Oklahoma City, OK 73104-5018 | 2013-04-27 |
| 1700123916 | Laura Jane Holsey | Surgery | 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 | 2013-01-08 |
| 1619234572 | Esan Kiel Harris | Surgery | 15200 S May Ave, Oklahoma City, OK 73170-8600 | 2012-04-17 |
| 1760788962 | Rowlan Surgical Pllc | Surgery | 3400 Nw Expressway Bldg C, Suite 812, Oklahoma City, OK 73112-4493 | 2011-02-04 |
| 1073822847 | Amanda Michelle Celii | Surgery | 825 Ne 10th St Ste 4g, Oklahoma City, OK 73104-5417 | 2010-09-28 |
| 1396063392 | Laura E Fischer | Surgery | 920 Department of Surgery, Williams Pavilion 2140, Oklahoma City, OK 73104-5033 | 2010-05-14 |
| 1205064730 | Ian Daniel | Surgery | 4827 S Western Ave, Oklahoma City, OK 73109-3835 | 2009-06-23 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.