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Deactivated NPI 1992821011 Deactivated / Inactive NPI Male Practitioner

Dr. Robert W. Moore , DO

Orthopaedic Surgery • Hicksville, OH

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

Registration / Start Date March 21, 2007
NPI Deactivation Date April 30, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Moore, DO was a registered Orthopaedic Surgery practicing in Hicksville, OH. Throughout an active medical career spanning 12 years, Dr. Moore provided care at the practice location at 208 COLUMBUS ST until profile deactivation on 2019-04-30.

Practice Location & Contact Primary Location

Practice Address

208 Columbus St

Hicksville, OH 435261250

Telephone 4195426692
Fax 4195426506
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hicksville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Hicksville, OH (984 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

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 34003089

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Julanne Luderman , RD, LD

Dietitian, Registered

NPI 1033623962

Registered Dietitian, Licensed Dietitian

Dr. Richard Chesler , MD

Emergency Medicine

NPI 1255301230

Doctor of Medicine (M.D.)

Cory Hammond , PA

Physician Assistant

NPI 1376845370

Physician Assistant

NPI 1407160328

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator, International Board Certified Lactation Consultant

Denise Overmyer , CRNA

Nurse Anesthetist, Certified Registered

NPI 1467571372

Certified Registered Nurse Anesthetist

Dr. Vincent Waldron , MD

Orthopaedic Surgery

NPI 1538148895

Doctor of Medicine (M.D.)

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 April 30, 2019

Record deactivated on April 30, 2019

NPI Profile Active March 23, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 23, 2009

Registered at 208 COLUMBUS ST, HICKSVILLE, OH 435261250 (Tel: 4195426692)

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Updated Business Mailing Address March 23, 2009

Registered at 208 COLUMBUS ST, HICKSVILLE, OH 435261250 (Tel: 4195426692)

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Provider Name / Credentials Updated March 23, 2009

Recorded as ROBERT MOORE, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2009

Orthopaedic Surgery (License #34003089 in OH)

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Initial NPI Registration & Enumeration March 21, 2007

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: 1992821011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: March 23, 2009
Deactivation Date: April 30, 2019

Mailing Address

208 Columbus St

Hicksville, OH 435261250

Phone: 4195426692

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.