Dr. Blake E Moore
Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon
1800 Camelot Dr Suite 300
Virginia Beach
, Virginia 23454-2440
Dr. Blake E Moore
Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon
1800 Camelot Dr Suite 300
Virginia Beach
, Virginia 23454-2440
(757) 321-3332
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About
Features
Specialties
- Orthopaedic Surgeon
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Blake E Moore
- 230 Clearfield Ave Suite 124
- Virginia Beach, VA
- Zip : 23462-1832
- Fax : (757) 321-3332
- Phone : (757) 321-3383
Second Address
- Dr. Blake E Moore
- 1800 Camelot Dr Suite 300
- Virginia Beach, VA
- Zip : 23454-2440
- Fax : (757) 321-3332
- Phone : (757) 321-3383
Reviews
FAQs
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Is Dr. Blake E Moore accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 0101255929 | VA |
| N | 207X00000X | Orthopaedic Surgeon | UID441344 | PA |
| N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0101255929 | VA |
National Provider Identifier
| NPI | 1326215518 |
|---|---|
| Provider Name | Dr. Blake E Moore |
| First Address | Virginia Beach, VA 23462-1832 |
| Second Address | Virginia Beach, VA 23454-2440 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2008 |
| Last Update Date | 07/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C05501 | MEDICARE GROUP (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.