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

Derek Moore

Individual provider Case Manager/Care Coordinator · NPI 1174135552

Derek Moore is a Case Manager/Care Coordinator in Portsmouth, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

902 Gallia St
Portsmouth, OH 45662-4139
Phone: (740) 529-2125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1174135552
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address3012 Glenmore Ave Ste 14, Cincinnati, OH 45238-2258

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