Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528040417 Individual Practitioner Male Practitioner

Dr. Grant K Moore , MD

Otolaryngology • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Dr. Grant Moore, MD is a registered healthcare professional specializing in Otolaryngology in Springfield, MA. Practice services are available at 100 WASON AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Wason Avenue
Suite 100

Springfield, MA 01107

Telephone 4137327426
Fax 4137342371
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Springfield, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Springfield, MA (388 Statewide)

Telehealth Adoption Rate
33.3% 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

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License MA 72182

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License NY 2372051

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02668239 (NY)
Medicaid State Provider ID
3065898 (MA)

Practice Associates & Co-Workers

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

23 Associated Practitioners
NPI 1033372800

Doctor of Audiology, CCCA

NPI 1053547646

Doctor of Medicine (M.D.)

NPI 1093999484

Doctor of Medicine (M.D.)

Jennifer Pham , PA-C

Physician Assistant

NPI 1174318216

Physician Assistant (Certified)

NPI 1205166642

Doctor of Audiology

NPI 1255591251

CCCA

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 05, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2009

Registered at 100 WASON AVENUE, SUITE 100, SPRINGFIELD, MA 01107 (Tel: 4137327426)

📍
Updated Business Mailing Address October 05, 2009

Registered at 100 WASON AVENUE, SUITE 100, SPRINGFIELD, MA 01107 (Tel: 4137327426)

👤
Provider Name / Credentials Updated October 05, 2009

Recorded as GRANT MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2009

Otolaryngology (License #72182 in MA)

🟢
Initial NPI Registration & Enumeration November 16, 2005

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. Grant Moore. Be the first to share your experience!

Sign in to leave a review for Dr. Grant Moore

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

NPI Administrative Meta

NPI Number: 1528040417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2005
Last Update: October 05, 2009
Sole Proprietor: No

Mailing Address

100 Wason Avenue, Suite 100

Springfield, MA 01107

Phone: 4137327426

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.