DR. DARALL J MOORE DPM NPI 1891806667

NPI Information

NPI: 1891806667
Provider Name: DR. DARALL J MOORE, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
4200 CENTRAL AVE
ST PETERSBURG, FL
ZIP 33711
Phone: (727) 321-8806
Get Directions

DR. Darall J Moore, DPM is a foot and ankle surgery podiatrist in St Petersburg, FL. DR. Darall J Moore, DPM NPI is 1891806667. 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:

4200 CENTRAL AVE
ST PETERSBURG, FL
ZIP 33711-140
Phone: (727) 321-8806
Fax: (727) 321-6838

The NPI 1891806667 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).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/30/2014.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO1999	FLORIDA	Yes

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
1	T87848	MEDICARE UPIN	FLORIDA
2	5192590001	MEDICARE NSC	FLORIDA
3	65076	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
4	041420400	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: 4/28/2024

NPI Synchronization or Removal

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