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NATHAN THOMAS MOORE D.O. NPI 1346575081


NPI Information

NPI: 1346575081
Provider Name: NATHAN THOMAS MOORE, D.O.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

PECOS Registration: Yes

Address:
140 N LITCHFIELD RD STE 110
GOODYEAR, AZ
ZIP 85338
Phone: (602) 256-2525
Get Directions

Nathan Thomas Moore, D.O. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Goodyear, AZ with 15 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Nathan Thomas Moore, D.O. NPI is 1346575081. 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:

140 N LITCHFIELD RD STE 110
GOODYEAR, AZ
ZIP 85338-226
Phone: (602) 256-2525
Fax: (602) 256-0795

The NPI 1346575081 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 10/14/2009 and was last updated on 1/29/2021.


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
1174400000XSpecialist006433ARIZONANo
2207X00000XOrthopaedic Surgery006433ARIZONANo
3207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery006433ARIZONAYes
4208600000XSurgery006433ARIZONANo
5390200000XStudent in an Organized Health Care Education/Training Program58.003264OHIONo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1916205MEDICAIDARIZONA

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

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.