MICHAEL J. MOORE M.D. – NPI #1073562476
Radiology

MICHAEL MOORE is a radiologist located in SIERRA VISTA, AZ. NPPES has assigned the NPI number 1073562476 to MICHAEL MOORE on May 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0203X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 13 years ago on Mar 05, 2013. 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 MICHAEL MOORE below.

NPI Profile for
MICHAEL J. MOORE

NPI Number
1073562476
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL J. MOORE
Credentials
M.D.
Primary location
5151 E. HWY 90
SIERRA VISTA, AZ 85635
Phone: (520) 803-6644 Fax: (520) 544-2943
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MICHAEL MOORE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ237851
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
2085R0203X
- Radiology / Radiation Oncology (Primary)
AZ 10112

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.