Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN B MOORE IV, MD
DeactivatedJOHN B MOORE IV, MD is a Plastic and Reconstructive Surgery healthcare provider located in OLATHE, Kansas. NPI 1316928229 is deactivated in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · OLATHE, KS
This NPI has been deactivated.
The record was deactivated on November 8, 2005.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1316928229
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2005
- Last Updated
- Aug 3, 2011
- Deactivated
- Nov 8, 2005
- Licenses
-
0420320 (KS)0420320 (KS)
Practice Information
- Address
-
20375 W 151ST STSUITE 370OLATHE, KS, 66061Browse KS providers · Browse ZIP 66061
- Phone
- 9137820707
- Fax
- 9137825813
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Surgery of the Hand
Other Plastic and Reconstructive Surgery Providers in OLATHE, KS
| Name | Credential | NPI |
|---|---|---|
| BRADLEY W STORM | MD | 1457332454 |
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.