Henry R Moore is a Surgery in Urbana, Illinois. Henry R Moore practices all healthcare services and medical treatments related to Surgery. The NPI Number for Henry R Moore is 1932392099. The last update date is 2022-03-31.
Henry R Moore's current location address is 611 W Park St, Urbana, Illinois. You can contact this provider via phone number 2173833240 and fax number 2173834597. The mailing address for Henry R Moore is 611 W Park St, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Henry R Moore |
|---|---|
| Address | 611 W Park St, Urbana, Illinois |
| Phone Number | 2173833240 |
| Fax Number | 2173834597 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932392099 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2022-03-31 |
Provider Mailing Address Detail
| Address | 611 W Park St |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012529 |
| Phone Number | 2173833240 |
| Fax Number | 2173834597 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD036123 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 533210001 | DMERC | ||
| 36119986 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Henry R Moore by the Centers for Medicare & Medicaid Services?
The Henry R Moore has been assigned the NPI (National Provider Identifier) 1932392099 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Henry R Moore?
The Henry R Moore is situated at 611 W Park St, in the city of Urbana, state of IL, with the zip code 618012529.
What is Henry R Moore's area of expertise and its corresponding taxonomy classification?
The Henry R Moore's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did Henry R Moore receive its 1932392099 assignment from the Centers for Medicare & Medicaid Services?
The Henry R Moore was assigned its 1932392099 on 2007-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Henry R Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Henry R Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-31.
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