Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Richard E. Moore, MD

Organization Orthopaedic Surgery Physician · NPI 1124221247

Richard E. Moore, MD is an Orthopaedic Surgery Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
3

Practice location Address checks out

6500 W Emerald St
Boise, ID 83704-8736
Phone: (208) 377-0777
Fax: (208) 377-1070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence M5456 (ID)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence M8524 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA370 (ID)

Record details

NPI number1124221247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Moore — M.D. · (208) 377-0777
Other names Ada Orthopaedic Clinic
NPI enumeratedJune 6, 2007
Last updated in NPPESJuly 6, 2010
Mailing address6500 W Emerald St, Boise, ID 83704-8736

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