Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS JAY MOORE, M.D.
ActiveNICHOLAS JAY MOORE, M.D. is a Sports Medicine healthcare provider located in NOVI, Michigan. NPI 1265727556 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · NOVI, MI
Registration Details
- NPI Number
- 1265727556
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2011 (15.123652198732 yrs)
- Last Updated
- Apr 16, 2019
- Licenses
-
4301108292 (MI)4301108292 (MI)
Practice Information
- Address
-
26850 PROVIDENCE PKWY STE 260NOVI, MI, 483741256Browse MI providers · Browse ZIP 48374
- Phone
- 2484655140
- Fax
- 2484655141
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in NOVI, MI
| Name | Credential | NPI |
|---|---|---|
| STEVEN JAMIE KARAGEANES | DO | 1447293360 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.