1669416590 NPI number — DR. DANIEL HOOD MOORE MD

Table of content: DR. DANIEL HOOD MOORE MD (NPI 1669416590)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669416590 NPI number — DR. DANIEL HOOD MOORE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOORE
Provider First Name:
DANIEL
Provider Middle Name:
HOOD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669416590
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/01/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
651 COLLIERS WAY
Provider Second Line Business Mailing Address:
ALL ABOUT WOMEN HEALTH ASSOCIATES
Provider Business Mailing Address City Name:
WEIRTON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26062
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-723-4700
Provider Business Mailing Address Fax Number:
252-338-6712

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
651 COLLIERS WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEIRTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-723-4700
Provider Business Practice Location Address Fax Number:
252-338-6712
Provider Enumeration Date:
06/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  200100170 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 383682761 . This is a "AETNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1289X . This is a "BC/BS NC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 891289X , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10016753 . This is a "OPTIMA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3075017 . This is a "CIGNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: D0307 . This is a "MEDCOST PREFERRED" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2111201 . This is a "ALLIANCE PPO & MAMSI" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2111201 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2111201 . This is a "ONE NET" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 383682761 . This is a "TRICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com