Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790740157 Deactivated / Inactive NPI Male Practitioner

Dr. Connor Moore , MD

Pediatrics • Biddeford, ME

⚠️

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. Connor Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 19, 2006
NPI Deactivation Date April 08, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Connor Moore, MD was a registered Pediatrics practicing in Biddeford, ME. Throughout an active medical career spanning 15 years, Dr. Moore provided care at the practice location at 483 ALFRED ST until profile deactivation on 2021-04-08.

Practice Location & Contact Primary Location

Practice Address

483 Alfred St

Biddeford, ME 040059473

Telephone 2072827531
Fax 2072863787
Associated Practice Facility / Clinic
🏢 Alternative Wellness Services Facility NPI 1982046207

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Biddeford, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.7 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Biddeford, ME (319 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ME 006107

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1174985212

Doctor of Osteopathic Medicine (D.O.)

NPI 1306045521

Doctor of Osteopathic Medicine (D.O.)

NPI 1427123306

Doctor of Osteopathic Medicine (D.O.)

Stavro Nashi , CPNP

Nurse Practitioner - Pediatrics

NPI 1497977045

Certified Pediatric Nurse Practitioner

Lauren Schnare , PA-C

Physician Assistant

NPI 1528465945

Physician Assistant (Certified)

Michael Payne , FNP-C

Nurse Practitioner - Family

NPI 1558882415

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated April 08, 2021

Record deactivated on April 08, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 483 ALFRED ST, BIDDEFORD, ME 040059473 (Tel: 2072827531)

📍
Updated Business Mailing Address July 08, 2007

Registered at 419 ALFRED ST, BIDDEFORD, ME 040053747 (Tel: 2072829080)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CONNOR MOORE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #006107 in ME)

🟢
Initial NPI Registration & Enumeration April 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Connor Moore. Be the first to share your experience!

Sign in to leave a review for Dr. Connor Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790740157
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2006
Last Update: July 08, 2007
Deactivation Date: April 08, 2021

Mailing Address

419 Alfred St

Biddeford, ME 040053747

Phone: 2072829080

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.