Ellen Cecile Moore, MD

Pediatrics Physician · Greenbrier, AR

Individual Active NPI

NPI number 1285681445

Practice location

14 Woodridge Dr
Greenbrier, AR 72058-9583
Phone
(248) 549-0861

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NPI record

NPI
1285681445
Entity type
Individual (Type 1)
Enumeration date
May 30, 2006
Last updated
June 21, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X E-6324 AR
Pediatrics Physician 208000000X 4301038528 MI

About Dr. Moore

Ellen Cecile Moore, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 14 Woodridge Dr, Greenbrier, AR 72058-9583. The NPI number 1285681445 was assigned on May 30, 2006 and the record was last updated on June 21, 2016.

Dr. Moore lists 2 licenses in the registry: #E-6324 (AR) for Pediatrics Physician; #4301038528 (MI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Cecile Moore, MD?

The NPI number is 1285681445.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (248) 549-0861.

Where is Dr. Moore located?

14 Woodridge Dr, Greenbrier, AR 72058-9583.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.