Henry R. Moore III, MD
Surgery Physician · Urbana, IL
Practice location
611 W Park StUrbana, IL 61801-2529
- Phone
- (217) 383-3240
- Fax
- (217) 383-4597
NPI record
- NPI
- 1932392099
- Entity type
- Individual (Type 1)
- Enumeration date
- August 22, 2007
- Last updated
- March 31, 2022
- Certified
- March 22, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Physician Primary | 208600000X |
036119986 | IL |
| Surgery Physician | 208600000X |
MD036123 | DC |
Mailing address
611 W Park StFapc
Urbana, IL 61801-2529
About Dr. Moore
Henry R. Moore III, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 611 W Park St, Urbana, IL 61801-2529. The NPI number 1932392099 was assigned on August 22, 2007 and the record was last updated on March 31, 2022.
Dr. Moore lists 2 licenses in the registry: #036119986 (IL) for Surgery Physician; #MD036123 (DC) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Henry R. Moore III, MD?
The NPI number is 1932392099.
What is the phone number of Dr. Moore?
The phone number listed for the practice location is (217) 383-3240.
Where is Dr. Moore located?
611 W Park St, Urbana, IL 61801-2529.
What is the taxonomy code for Dr. Moore?
The primary taxonomy code is 208600000X – Surgery 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.
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