Active NPI 1417945700 Individual Practitioner Male Practitioner

Dr. Paul Derek Moore , MD

General Practice • Lebanon, PA

Professional Overview & Biography Verified Profile Summary

Dr. Paul Moore, MD is a registered healthcare professional specializing in General Practice in Lebanon, PA. Practice services are available at 815 CUMBERLAND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

815 Cumberland St
Suite 205

Lebanon, PA 170425266

Telephone 7172777400

Fax 7172777402

Associated Practice Facility / Clinic

🏢 Substance Abuse Services, Inc. Facility NPI 1306073853

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lebanon, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 29.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Lebanon, PA (434 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PA MD444618

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License CO 40759

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

09932861 (CO)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2016

Registered at 815 CUMBERLAND ST, SUITE 205, LEBANON, PA 170425266 (Tel: 7172777400)

📍

Updated Business Mailing Address September 23, 2016

Registered at 100 N CAMERON ST, SUITE 401E, HARRISBURG, PA 171012424 (Tel: 7172328535)

👤

Provider Name / Credentials Updated September 23, 2016

Recorded as PAUL MOORE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2016

Family Medicine (License #40759 in CO)

🟢

Initial NPI Registration & Enumeration October 11, 2005

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: 1417945700

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 11, 2005

Last Update: September 23, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 N Cameron St, Suite 401e

Harrisburg, PA 171012424

Phone: 7172328535

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.