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GREGORY TODD MOORE DO PA NPI 1295961233


NPI Information

NPI: 1295961233
Provider Name: GREGORY TODD MOORE, DO PA

Doing Business As: ELLIS COUNTY ORTHOPEDIC SPORTS MEDICINE CLINIC

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
305 REGENCY PKWY STE 405
MANSFIELD, TX
ZIP 76063
Phone: (817) 968-5806
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GREGORY TODD MOORE, DO PA is a sports medicine orthopaedic surgery in Mansfield, TX. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. GREGORY TODD MOORE, DO PA NPI is 1295961233. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ellis County Orthopedic Sports Medicine Clinic.

The provider's business location address is:

305 REGENCY PKWY STE 405
MANSFIELD, TX
ZIP 76063-169
Phone: (817) 968-5806
Fax: (915) 703-7745

The provider's authorized official is Kate Kiser .
The authorized official title is Practice Manager and has the following contact phone number (817) 529-1900.

The enumeration date for this NPI number is 6/4/2009 and was last updated on 6/20/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineN0287TEXASYes

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

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