According to our database, the NPI number for Sam Moore D.O. is 1972516797 and activated since 17 years ago. Sam Moore D.O. is an individual provider who specializes in Family Medicine, and the primary practice location is 1701 W. Curtis, Champaign, IL 61822. You can also contact Sam Moore D.O. via telephone number is (217) 365-6203. Provider NPI information was last updated on 12/11/2013.

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Overview of Sam Moore D.O.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/14/2006
  • Last updated: 12/11/2013

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036075380
  • License State: IL

Provider Mailing Address

  • Address: 602 W University Ave
    Urbana, IL 61801
  • Phone: 217-383-3311
  • Fax:

Provider Practice Location

  • Address: 1701 W. Curtis
    Champaign, IL 61822
  • Phone: 217-365-6203
  • Fax: 217-383-4752

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036075380
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: IL2613
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: MEDICARE GROUP PTAN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Sam Moore D.O.?
  • A: The npi number for Sam Moore D.O. is 1972516797.
  • Q: What are Sam Moore D.O.'s specialties?
  • A: Sam Moore D.O.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Sam Moore D.O.?
  • A: The medical license number for Sam Moore D.O. is 036075380 and issued in IL in USA.
  • Q: Where is Sam Moore D.O. practice location?
  • A: Sam Moore D.O. is practicing at 1701 W. Curtis, Champaign, IL 61822.
  • Q: How to contact Sam Moore D.O.?
  • A: You can contact Sam Moore D.O. via 217-365-6203.