DR. JAMES T. MOORE M.D. NPI 1053335786

NPI Information

NPI: 1053335786
Provider Name: DR. JAMES T. MOORE, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-6897
Get Directions

DR. James T. Moore, M.D. is a pediatric surgery surgery in Baltimore, MD. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. James T. Moore, M.D. NPI is 1053335786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22 S GREENE ST
BALTIMORE, MD
ZIP 21201-544
Phone: (410) 328-6897
Fax: (410) 328-2109

The NPI 1053335786 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 9/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		D61840	MARYLAND	No
2	2086S0120X	Surgery	Pediatric Surgery	D61840	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0094	OTHER	MARYLAND	CAREFIRST REGIONAL
2	243678	OTHER	MARYLAND	KAISER
3	2458751	OTHER	MARYLAND	UNITED HLTHCARE NATIONAL
4	1703271	OTHER	MARYLAND	UNITED HLTHCARE
5	88880	OTHER	MARYLAND	GEISINGER
6	64280701	OTHER	MARYLAND	BLUE SHIELD
7	2125712	OTHER	MARYLAND	MDIPA
8	405966200	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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