Dr. Timothy L Moore , DO
General Practice • Oklahoma City, OK
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. Timothy Moore has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Timothy Moore, DO was a registered General Practice practicing in Oklahoma City, OK. Throughout an active medical career spanning 18 years, Dr. Moore provided care at the practice location at 3212 SW 89TH ST until profile deactivation on 2024-07-10.
Practice Location & Contact Primary Location
3212 Sw 89th St
Suite 100
Oklahoma City, OK 731597956
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Oklahoma City, OK
Practicing in Oklahoma City, OK (175 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 10, 2024
NPI status registered as active in NPPES database
Registered at 3212 SW 89TH ST, SUITE 100, OKLAHOMA CITY, OK 731597956 (Tel: 4053783300)
Registered at 3212 SW 89TH ST, SUITE 100, OKLAHOMA CITY, OK 731597956 (Tel: 4053783300)
Recorded as TIMOTHY MOORE, DO
General Practice (License #2469 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3212 Sw 89th St, Suite 100
Oklahoma City, OK 731597956
Phone: 4053783300
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