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

Joseph Michael Moore, MD

Individual provider Pediatrics Physician · NPI 1104853142

Joseph Michael Moore, MD is an Internal Medicine in Tulsa, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2003, 23 years ago. Practices with Williams Medical Group Practice, LLC, a 207-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
23
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2006
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

7127 S Olympia Ave
Tulsa, OK 74132-1856
Phone: (918) 876-0521
Fax: (918) 876-0939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 23398 (OK)
Pediatrics Physician Taxonomy 208000000X · Licence 23398 (OK)

Record details

NPI number1104853142
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing address701 Cedar Lake Blvd Ste 160, Oklahoma City, OK 73114-7818

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Williams Medical Group Practice, Llc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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