DR. MICHAEL BENJAMIN MOORE DO NPI 1538110911

NPI Information

  • NPI: 1538110911
  • Provider Name: DR. MICHAEL BENJAMIN MOORE, DO
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9040 FITZSIMMONS DR
    JOINT BASE LEWIS MCCHORD, WA
    ZIP 98431
  • Phone: (253) 968-1340

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NPI Details

DR. Michael Benjamin Moore, DO is an emergency medical services emergency medicine in Joint Base Lewis Mcchord, WA with 12 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. Michael Benjamin Moore, DO NPI is 1538110911. 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:

9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA
ZIP 98431-689
Phone: (253) 968-1340

The NPI 1538110911 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 5/12/2006 and was last updated on 1/7/2021.

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
1207PE0004XEmergency MedicineEmergency Medical ServicesOP61069996WASHINGTONYes
2207Q00000XFamily Medicine1198NEBRASKANo
3208D00000XGeneral Practice1198NEBRASKANo

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: 3/30/2025

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