DR. TOMMY EARL MOORE (NPI# 1881648624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881648624 |
| Entity Type | Individual |
| Full Name | DR. TOMMY EARL MOORE |
| Credential | MD |
| Practice Address |
816 W Cannon St Fort Worth TX 76104-3146 |
| Practice Telephone | 8173210312 |
| Practice Fax Number | 8173177033 |
| Mailing Telephone | 8173210312 |
| Mailing Fax Number | 8173177033 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
F4304 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
F4304 | TX | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
F4304 | TX | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
F4304 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
F4304 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
F4304 | TX | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
F4304 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 132698505 | 05 |
| Street Address |
816 W CANNON ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970975 | Radiology Associates of North Texas, Pa | Radiology | 816 W Cannon St, Credentialing 1710970975, Fort Worth, TX 76104-3146 | 2005-08-23 |
| 1124664982 | Brilyn Akerley | Physician Assistant | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2019-11-26 |
| 1730539339 | Shanna Micheal Sherwood | Physician Assistant | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2016-06-15 |
| 1518386325 | Jeremy Thomas Hall | Radiology | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2014-04-09 |
| 1164849154 | Mohammad Toliyat | Radiology | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2014-03-27 |
| 1407146384 | Radiology Associates of North Texas, Pa | Radiology | 816 W Cannon St, Credentialing 1407146384, Fort Worth, TX 76104-3146 | 2011-04-13 |
| 1861782740 | Radiology Associates of North Texas, Pa | Radiology | 816 W Cannon St, Credentialing 1861782740, Fort Worth, TX 76104-3146 | 2011-04-13 |
| 1629397245 | Daniel R. Eickenhorst | Radiology | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2010-05-21 |
| 1508020736 | Steven Matthew Sharatz | Internal Medicine | 816 W Cannon St, Apt. 3, Fort Worth, TX 76104-3146 | 2008-07-16 |
| 1568620789 | Jonathan Martin Williams | Radiology | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2008-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279928 | Wesley E Chang | Radiology | 1101 6th Ave, Fort Worth, TX 76104-4377 | 2005-07-19 |
| 1518386325 | Jeremy Thomas Hall | Radiology | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2014-04-09 |
| 1053529883 | Rishi Seth | Radiology | 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 | 2007-05-17 |
| 1992858757 | Craig A Harr | Radiology | 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 | 2007-01-18 |
| 1497723290 | Michael O'connor Harding | Radiology | 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500269 | Alaha Samir Al Taweel | Radiology | 301 University Boulevard, 2.820 John Sealy Annex, Galveston, TX 77555-0709 | 2020-05-19 |
| 1134483738 | Michael Kai-shin Wang | Radiology | 311 Bowie St Apt 1905, Austin, TX 78703-0062 | 2012-06-28 |
| 1407032071 | Bing Wang | Radiology | 1400 Pressler Street., Rm. Fct16.5022, Ut Md Anderson Cancer Center, Houston, TX 77030 | 2008-01-14 |
| 1699959114 | Alexandros Lazaros Georgiadis | Radiology | 1801 S 5th St Ste 215, Mcallen, TX 78503-2932 | 2007-12-19 |
| 1659448967 | Giovanni G Millare | Radiology | 226 Red Hawk Rdg, San Antonio, TX 78258-4866 | 2006-11-29 |
| 1750398236 | Kenneth Dean Williams | Radiology | Dept Radiology Scott & White, 2401 S 31st Street, Temple, TX 76508-0001 | 2006-08-01 |
| 1821029224 | Central Tx Radiology & Spine Consultants Pa | Radiology | 4316 James Casey St Ste E1, Austin, TX 78745-1157 | 2006-07-05 |
| 1578591616 | Robert Nick Bryan | Radiology | 1701 Trinity Street, Dell Medical School, Austin, TX 78712-1845 | 2006-06-29 |
| 1558308387 | Lester Paul Gerson | Radiology | 9802 Fm 1960 Bypass Rd W, Suite 245, Humble, TX 77338-3501 | 2006-06-01 |
| 1841255668 | Thomas Varghese | Radiology | 15655 Cypress Wood Medical Dr Ste 100, Houston, TX 77014-1487 | 2006-04-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.