John B Moore IV
Surgery of the Hand Plastic and Reconstructive Surgery
20375 W 151st St Suite 370
Olathe
, Kansas 66061
John B Moore IV
Surgery of the Hand Plastic and Reconstructive Surgery
20375 W 151st St Suite 370
Olathe
, Kansas 66061
(913) 782-5813
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About
Features
Specialties
- Surgery of the Hand
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- John B Moore IV
- 20375 W 151st St Suite 370
- Olathe, KS
- Zip : 66061
- Fax : (913) 782-5813
- Phone : (913) 782-0707
Second Address
- John B Moore IV
- 20375 W 151st St Suite 370
- Olathe, KS
- Zip : 66061
- Fax : (913) 782-5813
- Phone : (913) 782-0707
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0105X | Surgery of the Hand | 0420320 | KS |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 0420320 | KS |
National Provider Identifier
| NPI | 1316928229 |
|---|---|
| Provider Name | John B Moore IV |
| First Address | Olathe, KS 66061 |
| Second Address | Olathe, KS 66061 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2005 |
| Last Update Date | 03/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100205260A | (05) | KS |
| 10226021 | BLUE CROSS (01) | KS |
| 563754 | UNITED HEALTH CARE (01) | KS |
| C47628 | (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.