Dr. James T. Moore
Surgeon Pediatric Surgery
22 S Greene St
Baltimore
, Maryland 21201-1544
Dr. James T. Moore
Surgeon Pediatric Surgery
22 S Greene St
Baltimore
, Maryland 21201-1544
(410) 328-2109
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. James T. Moore
- Po Box 64226
- Baltimore, MD
- Zip : 21264-4742
- Fax : (410) 328-2109
- Phone : (410) 328-6897
Second Address
- Dr. James T. Moore
- 22 S Greene St
- Baltimore, MD
- Zip : 21201-1544
- Fax : (410) 328-2109
- Phone : (410) 328-6897
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | D61840 | MD |
| N | 208600000X | Surgeon | D61840 | MD |
| Y | 2086S0120X | Pediatric Surgery | D61840 | MD |
National Provider Identifier
| NPI | 1053335786 |
|---|---|
| Provider Name | Dr. James T. Moore |
| First Address | Baltimore, MD 21264-4742 |
| Second Address | Baltimore, MD 21201-1544 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 19/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0094 | CAREFIRST REGIONAL (01) | MD |
| 1703271 | UNITED HLTHCARE (01) | MD |
| 2125712 | MDIPA (01) | MD |
| 243678 | KAISER (01) | MD |
| 2458751 | UNITED HLTHCARE NATIONAL (01) | MD |
| 405966200 | (05) | MD |
| 64280701 | BLUE SHIELD (01) | MD |
| 88880 | GEISINGER (01) | MD |
| I20728 | (02) | MD |
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.