Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508830100 Individual Practitioner Male Practitioner

Dr. John Moore , MD

Pediatrics • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Dr. John Moore, MD is a registered healthcare professional specializing in Pediatrics in Roanoke, VA. Practice services are available at 89 SUMMERS WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

89 Summers Way

Roanoke, VA 240198291

Telephone 5409921251

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
74 Specialists

Practicing in Roanoke, VA (2079 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101-232374

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
006729134 (VA)
Medicaid State Provider ID
006733867 (VA)

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1023082625

Doctor of Medicine (M.D.)

Amanda Tiffany

Pediatrics

NPI 1154731198
Ryan Fulton

Pediatrics

NPI 1346582228
NPI 1508839374

Doctor of Medicine (M.D.)

NPI 1598892978

Doctor of Medicine (M.D.)

NPI 1629606728

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2013

Registered at 89 SUMMERS WAY, ROANOKE, VA 240198291 (Tel: 5409921251)

📍
Updated Business Mailing Address December 09, 2013

Registered at 5360 SILVER FOX RD, ROANOKE, VA 240188741 (Tel: 5405295302)

👤
Provider Name / Credentials Updated December 09, 2013

Recorded as JOHN MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2013

Pediatrics (License #0101-232374 in VA)

🟢
Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Moore. Be the first to share your experience!

Sign in to leave a review for Dr. John Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1508830100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: December 09, 2013
Sole Proprietor: No

Mailing Address

5360 Silver Fox Rd

Roanoke, VA 240188741

Phone: 5405295302

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.