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Active NPI 1265376099 Individual Practitioner Male Practitioner

Michael Elias Moore

Peer Specialist • Pauls Valley, OK

Professional Overview & Biography Verified Profile Summary

Michael Moore is a registered healthcare professional specializing in Peer Specialist in Pauls Valley, OK. Practice services are available at 100 VALLEY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Valley Dr

Pauls Valley, OK 730756613

Telephone 4052421618
Associated Practice Facility / Clinic
🏢 Washita Emergency Physicians Llc Facility NPI 1932159233

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Pauls Valley, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Pauls Valley, OK (5280 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

CMS Verified: 2026-04-14
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Shana Brown

Peer Specialist

NPI 1417898420

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active April 14, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2026

Registered at 100 VALLEY DR, PAULS VALLEY, OK 730756613 (Tel: 4052421618)

📍
Updated Business Mailing Address April 14, 2026

Registered at 515 E GRANT AVE, PAULS VALLEY, OK 730752636

👤
Provider Name / Credentials Updated April 14, 2026

Recorded as MICHAEL MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2026

Peer Specialist

🟢
Initial NPI Registration & Enumeration April 14, 2026

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: 1265376099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2026
Last Update: April 14, 2026
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

515 E Grant Ave

Pauls Valley, OK 730752636

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.