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

Dr. Ryan Thomas Moore, MD

Individual provider Pediatrics Physician · NPI 1063493880

Dr. Ryan Thomas Moore, MD is a Pediatrics Physician in Greenville, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2005.

Licensed in
NC, VA
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone: (252) 847-4378
Fax: (252) 847-9943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 2014-01603 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 0101237078 (VA)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 0101237078 (VA)

Record details

NPI number1063493880
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

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