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Deactivated NPI 1285945790 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Alan Moore , DO

General Practice • Thomson, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2010
NPI Deactivation Date March 02, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Moore, DO was a registered General Practice practicing in Thomson, IL. Throughout an active medical career spanning 8 years, Dr. Moore provided care at the practice location at 6065 RIVERVIEW RD. until profile deactivation on 2018-03-02.

Practice Location & Contact Primary Location

Practice Address

6065 Riverview Rd.

Thomson, IL 61285

Telephone 3158048675

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Thomson, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Thomson, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI 5101019656

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 02, 2018

Record deactivated on March 02, 2018

NPI Profile Active April 15, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 15, 2015

Registered at 6065 RIVERVIEW RD., THOMSON, IL 61285 (Tel: 3158048675)

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Updated Business Mailing Address April 15, 2015

Registered at 6065 RIVERVIEW RD., THOMSON, IL 61285 (Tel: 3158048675)

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Provider Name / Credentials Updated April 15, 2015

Recorded as RICHARD MOORE, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2015

General Practice (License #5101019656 in MI)

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Initial NPI Registration & Enumeration June 30, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285945790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2010
Last Update: April 15, 2015
Deactivation Date: March 02, 2018

Mailing Address

6065 Riverview Rd.

Thomson, IL 61285

Phone: 3158048675

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.