DR. GEORGE HORACE MOORE, M.D. - NPI NUMBER 1942344494

Summary

Provider Name: DR. GEORGE HORACE MOORE, M.D.

NPI Number: 1942344494

Clasification: Family Medicine (207Q00000X)

Organization: CAROLINAEAST PHYSICIANS

Address:
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC
ZIP 28562

Phone Number: (252) 638-4023



Detailed Information

DR. George Horace Moore, M.D. is a family physician in New Bern, NC with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. The assigned NPI number for this provider is 1942344494 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1981

The provider's business address is:

2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC
ZIP 28562-238
Phone: (252) 638-4023
Fax: (252) 633-2833

The enumeration date for this NPI number is 2/17/2007 and was last updated on 5/16/2014.

Map - Location of Practice

Taxonomy Codes

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 207Q00000X Family Medicine 26325 NC Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 8960521 MEDICAID NC
2 202911D MEDICARE PIN NC
3 202911E MEDICARE PIN NC

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1942344494 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name MOORE The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name GEORGE The first name of the provider, if the provider is an individual.
5 Provider Middle Name HORACE The middle name of the provider, if the provider is an individual.
6 Provider Name Prefix Text DR. The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
7 Provider Name Suffix Text JR. The name suffix of the provider if the provider is an individual. The name suffix is a ‘‘generation-related’’ suffix, such as Jr., Sr., II, III, IV, or V.
8 Provider Credential Text M.D. The name suffix of the provider if the provider is an individual. The name suffix is a ‘‘generation-related’’ suffix, such as Jr., Sr., II, III, IV, or V.
9 Provider First Line Business Practice Location Address 2604 DR MARTIN LUTHER KING JR BLVD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
10 Provider Business Practice Location Address City Name NEW BERN The State code in the location of the provider being identified.
11 Provider Business Practice Location Address State Name NC The State code in the location of the provider being identified.
12 Provider Business Practice Location Address Postal Code 285624238 The State code in the location of the provider being identified.
13 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
14 Provider Business Practice Location Address Telephone Number 2526384023 The country code in the location address of the provider being identified.
15 Provider Business Practice Location Address Fax Number 2526332833 The fax number associated with the location address of the provider being identified.
16 Provider Enumeration Date 2/17/2007 The fax number associated with the location address of the provider being identified.
17 Last Update Date 5/16/2014 The code designating the provider’s gender if the provider is a person.
18 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
19 Healthcare Provider Taxonomy Code 1 207Q00000X The code designating the provider’s gender if the provider is a person.
20 Provider License Number 1 26325 The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
21 Provider License Number State Code 1 NC The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
22 Healthcare Provider Primary Taxonomy Switch 1 Y The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
23 Other Provider Identifier 1 8960521 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier Type Code 1 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier State 1 NC
26 Other Provider Identifier 2 202911D Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
27 Other Provider Identifier Type Code 2 08 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier State 2 NC
29 Other Provider Identifier 3 202911E Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
30 Other Provider Identifier Type Code 3 08 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
31 Other Provider Identifier State 3 NC
32 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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