DR. THOMAS C MOORE (NPI# 1780677666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780677666 |
| Entity Type | Individual |
| Full Name | DR. THOMAS C MOORE |
| Credential | MD |
| Practice Address |
701 N University Ave Suite 100 Little Rock AR 72205 |
| Mailing Address |
701 N University Ave Ste 100 Little Rock AR 72205-2936 |
| Practice Telephone | 5016644810 |
| Practice Fax Number | 5016631256 |
| Mailing Telephone | 5016644810 |
| Mailing Fax Number | 5016631256 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C-6856 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | QUALCHOICE | 12448000000 | 01 |
| AR | UNITED HEALTHCARE | 01-20140 | 01 |
| RAILROAD MEDICARE | 080102392 | 01 | |
| AR | MEDICARE RAILROAD | 080102392 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700410081 | Thomas Earl Moore | Nurse Practitioner | 5575 Dana Dr, Ashland, KY 41102-9647 | 2020-02-26 |
| 1760923775 | Thomas Moore II | Physical Therapist | 5100 Paschall Dr, Durham, NC 27705-8534 | 2017-03-10 |
| 1437509429 | Thomas Anthony Moore | Occupational Therapist | 180 Thompson Rd, Crossville, TN 38571-0755 | 2016-06-21 |
| 1871970194 | Thomas Edward Moore | Counselor | 3937 S St Se Apt A8, Washington, DC 20020-1009 | 2015-05-06 |
| 1184039364 | Thomas Moore | Psychologist | 169 Libbey Industrial Pkwy Fl 2, Weymouth, MA 02189-3101 | 2014-06-25 |
| 1821372087 | Thomas Lowell Moore | Counselor | 1711 Hermitage Dr, Florence, AL 35630-2517 | 2011-10-06 |
| 1457537896 | Thomas L Moore | Counselor | 310 E. Lake St., Tom Moore, Mccall, ID 83638 | 2008-01-16 |
| 1376740126 | Thomas Moore Jr. | Social Worker | 2630 Skylark Rd, Wilmington, DE 19808-1634 | 2007-06-27 |
| 1013123561 | Thomas Marion Moore | Pharmacist | 4305 Peninsula Pt, Greenville, NC 27834-0520 | 2007-05-14 |
| 1164580221 | Thomas James Moore | Family Medicine | 99 E Carmel Drive, Suite E, Carmel, IN 46032 | 2006-12-04 |
| Street Address |
701 N UNIVERSITY AVE SUITE 100 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064821 | Bobby Dean Perry | Specialist | 701 N University Ave, Suite 203, Little Rock, AR 72205-2936 | 2005-06-22 |
| 1295276285 | Ashley Blackwood | Nurse Practitioner | 701 N University Ave, Little Rock, AR 72205-2936 | 2017-03-10 |
| 1265899421 | Agnes Condren | Dietitian, Registered | 701 N University Ave, Suite 201, Little Rock, AR 72205-2936 | 2016-01-19 |
| 1508096405 | Castro Bali | Internal Medicine | 701 N University Ave, Suite 201, Little Rock, AR 72205-2936 | 2009-07-26 |
| 1780814244 | Saumya Kumar | Internal Medicine | 701 N University Ave, Suite 201, Little Rock, AR 72205 | 2009-07-19 |
| 1659513133 | James Carver Walker | Surgery | 701 N University Ave, Suite 203, Little Rock, AR 72205-2936 | 2009-03-31 |
| 1336396407 | Arkansas Family Care Network | Family Medicine | 701 N University Ave, Suite 100, Little Rock, AR 72205-2936 | 2008-08-20 |
| 1023286051 | Lance Kyle Burns | Colon & Rectal Surgery | 701 N University Ave, Suite 203, Little Rock, AR 72205-2936 | 2008-02-12 |
| 1306936877 | Nidhi Jain | Internal Medicine | 701 N University Ave, Suite 201, Little Rock, AR 72205-2936 | 2006-10-13 |
| 1730297979 | Lee Cecil Raley | Colon & Rectal Surgery | 701 N University Ave, Suite 203, Little Rock, AR 72205-2936 | 2006-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707650 | Relymd Medical Group Ar, Pllc | Family Medicine | 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 | 2020-10-14 |
| 1831709997 | Wound Integrity Arkansas Pa | Family Medicine | 10000 N Rodney Parham Rd, Little Rock, AR 72227-5548 | 2020-08-04 |
| 1235762816 | Cynthia Johnson | Family Medicine | 14201 Kanis Rd Apt 418, Little Rock, AR 72223-4952 | 2020-02-21 |
| 1801246129 | John Freeland Jayroe | Family Medicine | 701 N University Ave Ste 100, Little Rock, AR 72205-2936 | 2016-06-17 |
| 1992154462 | Arkansas Health Group | Family Medicine | 401 W Capitol Ave Ste 101b, Little Rock, AR 72201-3421 | 2016-06-06 |
| 1669867099 | John Allen Cockerell | Family Medicine | 5423 L St, Little Rock, AR 72205-1726 | 2015-04-02 |
| 1831593896 | James William Takach | Family Medicine | 14519 Wimbledon Loop, Little Rock, AR 72210 | 2014-10-20 |
| 1790198133 | Muhammad Yusuf | Family Medicine | 4216 Bowman Rd Apt D6, Little Rock, AR 72210-2383 | 2014-06-03 |
| 1598184103 | Stephen A Humbard Md Pa | Family Medicine | 28 Rahling Cir Ste 2, Little Rock, AR 72223-9187 | 2014-04-10 |
| 1215360144 | George Franklin Holitik | Family Medicine | 4617 Stonewall Rd, Little Rock, AR 72207-2053 | 2013-08-14 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.