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Deactivated NPI 1013996594 Deactivated / Inactive NPI Male Practitioner

Dr. John Henry Moore , MD

Specialist • Branson, MO

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

Registration / Start Date January 12, 2006
NPI Deactivation Date February 15, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. John Moore, MD was a registered Specialist practicing in Branson, MO. Throughout an active medical career spanning 17 years, Dr. Moore provided care at the practice location at 101 SKAGGS RD until profile deactivation on 2023-02-15.

Practice Location & Contact Primary Location

Practice Address

101 Skaggs Rd
Suite 103

Branson, MO 656162075

Telephone 4173357792
Fax 4173357121
Associated Practice Facility / Clinic
🏢 Branson Nephrology Llc Facility NPI 1427025212

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Branson, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Branson, MO (503 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AR 2005032990

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Laura Bailey , APRN-FNP

Nurse Practitioner - Family

NPI 1891115663

APRNFNP

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 February 15, 2023

Record deactivated on February 15, 2023

NPI Profile Active April 18, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 18, 2016

Registered at 101 SKAGGS RD, SUITE 103, BRANSON, MO 656162075 (Tel: 4173357792)

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Updated Business Mailing Address April 18, 2016

Registered at 101 SKAGGS RD, SUITE 103, BRANSON, MO 656162075 (Tel: 4173357792)

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Provider Name / Credentials Updated April 18, 2016

Recorded as JOHN MOORE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2016

Specialist (License #2005032990 in AR)

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Initial NPI Registration & Enumeration January 12, 2006

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: 1013996594
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2006
Last Update: April 18, 2016
Deactivation Date: February 15, 2023

Mailing Address

101 Skaggs Rd, Suite 103

Branson, MO 656162075

Phone: 4173357792

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.