Timothy Richard Moore in Boise - Interventional Cardiology
Timothy Richard Moore - NPI 1124064423
Timothy Richard Moore is a Interventional Cardiology in Boise, Idaho. Timothy Richard Moore practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for Timothy Richard Moore is 1124064423. The last update date is 2022-02-15.
Timothy Richard Moore's current location address is 500 W Fort St # 111, Boise, Idaho. You can contact this provider via phone number 2084221000 and fax number 2084221319. The mailing address for Timothy Richard Moore is 500 W Fort St # 111, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Richard Moore |
|---|---|
| Address | 500 W Fort St # 111, Boise, Idaho |
| Phone Number | 2084221000 |
| Fax Number | 2084221319 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124064423 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2022-02-15 |
Provider Mailing Address Detail
| Address | 500 W Fort St # 111 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837024501 |
| Phone Number | 2084221000 |
| Fax Number | 2084221319 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Cardiology |
|---|---|
| Taxonomy | 207Ri0011X |
| Licence No | M-12911 |
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Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
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Post Comment/ Review Below
What is the unique identifier code issued to Timothy Richard Moore by the Centers for Medicare & Medicaid Services?
The Timothy Richard Moore has been assigned the NPI (National Provider Identifier) 1124064423. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Timothy Richard Moore's facilities are geographically located?
The facilities of Timothy Richard Moore are physically situated at the following location: 500 W Fort St # 111, Boise, ID, 837024501.
What is the Timothy Richard Moore's specialty and taxonomy code?
The Timothy Richard Moore's specialty is Interventional Cardiology, and the corresponding taxonomy code is 207Ri0011X.
On what date was the 1124064423 assigned to Timothy Richard Moore?
The Timothy Richard Moore was issued its 1124064423 on 2006-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Timothy Richard Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Timothy Richard Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-15.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN