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

Grant K Moore, MD

Individual provider Otolaryngology Physician · NPI 1528040417

Grant K Moore, MD is an Otolaryngology Physician in Springfield, Massachusetts. Licensed in Massachusetts and New York. Registered with an NPI since 2005.

Licensed in
MA, NY
In the registry since
2005
Specialties on file
2
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

100 Wason Ave Ste 100
Springfield, MA 01107
Phone: (413) 732-7426
Fax: (413) 734-2371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 72182 (MA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 2372051 (NY)

Record details

NPI number1528040417
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESOctober 5, 2009
Mailing address100 Wason Avenue, Suite 100, Springfield, MA 01107

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