Dr. Sue D Moore
Gynecologist - Maternal & Fetal Medicine
621 S New Ballas Rd Suite 2009b
Saint Louis
, Missouri 63141-8232
Dr. Sue D Moore
Gynecologist - Maternal & Fetal Medicine
621 S New Ballas Rd Suite 2009b
Saint Louis
, Missouri 63141-8232
(314) 849-4423
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. Sue D Moore
- 12639 Old Tesson Rd Suite 115
- Saint Louis, MO
- Zip : 63128-2786
- Fax : (314) 849-4423
- Phone : (314) 849-0311
Second Address
- Dr. Sue D Moore
- 621 S New Ballas Rd Suite 2009b
- Saint Louis, MO
- Zip : 63141-8232
- Fax : (314) 251-6919
- Phone : (314) 251-6880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 113681 | MO |
National Provider Identifier
| NPI | 1164459772 |
|---|---|
| Provider Name | Dr. Sue D Moore |
| First Address | Saint Louis, MO 63128-2786 |
| Second Address | Saint Louis, MO 63141-8232 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 113282 | BLUE CROSS BLUE SHIELD (01) | MO |
| 272132 | GROUP HEALTHPLAN (01) | MO |
| 338322 | HEALTHLINK (01) | MO |
| 4454848 | AETNA (01) | MO |
| 6715780 | CIGNA (01) | MO |
| 7400110 | UNITED HEALTHCARE (01) | MO |
| F35466 | (02) |
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.