Matthew Henry Moore in Miami - Physician Assistant
Matthew Henry Moore - NPI 1700053394
Matthew Henry Moore is a Physician Assistant in Miami, Oklahoma. Matthew Henry Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Matthew Henry Moore is 1700053394. The last update date is 2019-01-07.
Matthew Henry Moore's current location address is 111 S Treaty Rd, Miami, Oklahoma. You can contact this provider via phone number 9185401511 and fax number 9185427374. The mailing address for Matthew Henry Moore is 111 S Treaty Rd, Miami, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Henry Moore |
|---|---|
| Address | 111 S Treaty Rd, Miami, Oklahoma |
| Phone Number | 9185401511 |
| Fax Number | 9185427374 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700053394 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2019-01-07 |
Provider Mailing Address Detail
| Address | 111 S Treaty Rd |
|---|---|
| City | Miami |
| State | Oklahoma (OK) |
| Post Code | 743545327 |
| Phone Number | 9185401511 |
| Fax Number | 9185427374 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1732 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200207110A | OK | -- | |
| 100736700O | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew Henry Moore by the Centers for Medicare & Medicaid Services (CMS)?
The Matthew Henry Moore has been assigned the NPI (National Provider Identifier) 1700053394. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Matthew Henry Moore?
The Matthew Henry Moore is situated at 111 S Treaty Rd, in the city of Miami, state of OK, with the zip code 743545327.
What is the Matthew Henry Moore's specialty and taxonomy code?
The Matthew Henry Moore's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1700053394 assigned to Matthew Henry Moore?
The Matthew Henry Moore was issued its 1700053394 on 2008-05-13, 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 Matthew Henry Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew Henry Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-01-07.
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