RANDALL J. MOORE M.D., M.P.H., C.P.E – NPI #1992780597
Preventive Medicine

Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

RANDALL MOORE is a physician located in MOUNTAIN HOME AFB, ID. NPPES has assigned the NPI number 1992780597 to RANDALL MOORE on December 07, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083A0100X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Aerospace Medicine

The NPI profile was previously updated about 8 years ago on May 29, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL MOORE below.

NPI Profile for
RANDALL J. MOORE

NPI Number
1992780597
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL J. MOORE
Credentials
M.D., M.P.H., C.P.E
Primary location
366MDG/SGPF
90 HOPE DRIVE; BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Phone: (208) 828-7401 Fax:
1 Other location(s):
1129 Rim Drive
McCall, ID 83638
Phone: (808) 772-0871
Mailing address
PO BOX 1338
MCCALL, ID 83638-1338
Phone: (808) 772-0871 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083A0100X
- Preventive Medicine / Aerospace Medicine (Primary)
MT 4463

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.