Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOT B MOORE, MD
ActivePediatrics · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1821096462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (20.848870629942 yrs)
- Last Updated
- Sep 2, 2022
- Licenses
-
01044878 (IN)01044878A (IN)
Practice Information
- Address
-
350 S LANDMARK AVEBLOOMINGTON, IN, 474035001Browse IN providers · Browse ZIP 47403
- Phone
- 8123349995
- Fax
- 8123357604
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| DAVID C ESAREY | MD | 1427055458 |
| RICHARD K MALONE | MD | 1881691814 |
| JAMES J LAUGHLIN | MD | 1326045352 |
| AUDRA JANICE KUNZMAN-MAZDZER | MD | 1144227174 |
| DEBRA K MCDANIEL | MD | 1356348254 |
| HEATHER M FRANKLIN | MD | 1770580615 |
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.