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FREEMAN MARK MOORE MD NPI 1316973480


NPI Information

NPI: 1316973480
Provider Name: FREEMAN MARK MOORE, MD
Classification: Personal Emergency Response Attendant - 146D00000X
Entity Type: Individual
Address:
225 MEMORIAL DR
BERLIN, WI
ZIP 54923
Phone: (920) 361-1313
Get Directions

Freeman Mark Moore, MD is a personal emergency response attendant in Berlin, WI. The provider is individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. Freeman Mark Moore, MD NPI is 1316973480. 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:

225 MEMORIAL DR
BERLIN, WI
ZIP 54923-243
Phone: (920) 361-1313

The enumeration date for this NPI number is 6/23/2006 and was last updated on 7/8/2007.


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
1146D00000XPersonal Emergency Response Attendant18406WISCONSINYes

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
1E27570MEDICARE UPINWISCONSIN
231154500MEDICAIDWISCONSIN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.