Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710982640 Individual Practitioner Male Practitioner

Dr. Clen Damon Moore , MD

Pediatrics • Sterling, VA

Professional Overview & Biography Verified Profile Summary

Dr. Clen Moore, MD is a registered healthcare professional specializing in Pediatrics in Sterling, VA. Practice services are available at 46440 BENEDICT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

46440 Benedict Dr
Ste 207

Sterling, VA 201646602

Telephone 7034442100
Fax 7034440386
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Sterling, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Sterling, 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 0101056399

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
1710982640 (VA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1184626343

Doctor of Medicine (M.D.)

Jan Cantrell , CPNP

Nurse Practitioner - Pediatrics

NPI 1386649663

Certified Pediatric Nurse Practitioner

NPI 1396740676

Doctor of Osteopathic Medicine (D.O.)

NPI 1528060787

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2011

Registered at 46440 BENEDICT DR, STE 207, STERLING, VA 201646602 (Tel: 7034442100)

📍
Updated Business Mailing Address March 29, 2011

Registered at PO BOX 17334, BALTIMORE, MD 212971334 (Tel: 7034436717)

👤
Provider Name / Credentials Updated March 29, 2011

Recorded as CLEN MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2011

Pediatrics (License #0101056399 in VA)

🟢
Initial NPI Registration & Enumeration June 16, 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: 1710982640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: March 29, 2011
Sole Proprietor: No

Mailing Address

Po Box 17334

Baltimore, MD 212971334

Phone: 7034436717

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.