DR. VINCENT PAUL MOORE MD MPH NPI 1487612784

NPI Information

NPI: 1487612784
Provider Name: DR. VINCENT PAUL MOORE, MD, MPH
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: X-RAY PHYSICIANS OF SHELBYVILLE PC

PECOS Registration: Yes

Address:
7221 ENGLE RD STE 220
FORT WAYNE, IN
ZIP 46804
Phone: (260) 469-8223
Get Directions

DR. Vincent Paul Moore, MD, MPH is a diagnostic radiology radiology in Fort Wayne, IN with 28 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Vincent Paul Moore, MD, MPH NPI is 1487612784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

7221 ENGLE RD STE 220
FORT WAYNE, IN
ZIP 46804-233
Phone: (260) 469-8223
Fax: (260) 469-8201

The NPI 1487612784 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 5/3/2006 and was last updated on 8/2/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083X0100X	Preventive Medicine	Occupational Medicine	023438	LOUISIANA	No
2	2085R0202X	Radiology	Diagnostic Radiology	ME144253	FLORIDA	Yes
3	2085R0202X	Radiology	Diagnostic Radiology	023438	LOUISIANA	No

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	107111400	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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