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Deactivated NPI 1609872605 Deactivated / Inactive NPI Male Practitioner

Dr. Alan Greenwood Moore , MD

Specialist • Shenandoah, TX

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

Registration / Start Date June 23, 2005
NPI Deactivation Date July 09, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Alan Moore, MD was a registered Specialist practicing in Shenandoah, TX. Throughout an active medical career spanning 14 years, Dr. Moore provided care at the practice location at 1120 MEDICAL PLAZA DR until profile deactivation on 2019-07-09.

Practice Location & Contact Primary Location

Practice Address

1120 Medical Plaza Dr
Ste 340

Shenandoah, TX 773803242

Telephone 2812968686
Fax 2812928804
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Shenandoah, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.3 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Shenandoah, TX (2033 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX E8741

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Terra Phillips , PA-C

Physician Assistant - Medical

NPI 1154501757

Physician Assistant (Certified)

Lindsay Domangue , PA

Physician Assistant

NPI 1639486749

Physician Assistant

Tracy Hedine , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1669968335

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Robert Mock , MD

Family Medicine

NPI 1932196896

Doctor of Medicine (M.D.)

Dr. James Owusu , MD

Otolaryngology - Plastic Surgery within the Head & Neck

NPI 1942443312

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 July 09, 2019

Record deactivated on July 09, 2019

NPI Profile Active December 17, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 17, 2007

Registered at 1120 MEDICAL PLAZA DR, STE 340, SHENANDOAH, TX 773803242 (Tel: 2812968686)

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Updated Business Mailing Address December 17, 2007

Registered at 1120 MEDICAL PLAZA DR, STE 340, SHENANDOAH, TX 773803242 (Tel: 2812968686)

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Provider Name / Credentials Updated December 17, 2007

Recorded as ALAN MOORE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2007

Specialist (License #E8741 in TX)

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Initial NPI Registration & Enumeration June 23, 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: 1609872605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2005
Last Update: December 17, 2007
Deactivation Date: July 09, 2019

Mailing Address

1120 Medical Plaza Dr, Ste 340

Shenandoah, TX 773803242

Phone: 2812968686

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.