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Deactivated NPI 1588743900 Deactivated / Inactive NPI Male Practitioner

Dr. Eugene Alman Moore , MD

Surgery • Columbia, SC

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

Registration / Start Date November 05, 2006
NPI Deactivation Date November 02, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Moore, MD was a registered Surgery practicing in Columbia, SC. Throughout an active medical career spanning 15 years, Dr. Moore provided care at the practice location at 4500 STUART ST until profile deactivation on 2021-11-02.

Practice Location & Contact Primary Location

Practice Address

4500 Stuart St
Attn. Mcxl-Pq (Credentials)

Columbia, SC 292075700

Telephone 8037512618
Fax 8037512689
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Columbia, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
69 Specialists

Practicing in Columbia, SC (681 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License SC 5087

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Matthew Perkins , DPT

Physical Therapist

NPI 1013014810

Doctor of Physical Therapy

Eugene Kistler , PA-C

Physician Assistant - Medical

NPI 1073618880

Physician Assistant (Certified)

Gary Yon , PA-C

Physician Assistant

NPI 1073618930

Physician Assistant (Certified)

Paula Podewil , SOCIAL WORKER

Social Worker - Clinical

NPI 1144311572

SOCIALWORKER

Joyce Perkins , PA-C

Physician Assistant - Medical

NPI 1154426898

Physician Assistant (Certified)

Karen Owens-Blanding , CCC-SLP

Speech-Language Pathologist

NPI 1164519864

Speech-Language Pathologist (Certificate of Clinical Competence)

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 November 02, 2021

Record deactivated on November 02, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4500 STUART ST, ATTN. MCXL-PQ (CREDENTIALS), COLUMBIA, SC 292075700 (Tel: 8037512618)

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Updated Business Mailing Address July 08, 2007

Registered at 4500 STUART ST, ATTN. MCXL-PQ (CREDENTIALS), COLUMBIA, SC 292075700 (Tel: 8037512618)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EUGENE MOORE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #5087 in SC)

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Initial NPI Registration & Enumeration November 05, 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: 1588743900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2006
Last Update: July 08, 2007
Deactivation Date: November 02, 2021

Mailing Address

4500 Stuart St, Attn. Mcxl-Pq (Credentials)

Columbia, SC 292075700

Phone: 8037512618

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.