Timothy D Moore, DO
Timothy D Moore, DO is a Family Practice in O Fallon, Missouri. Qualified in 1993, 33 years ago. Practices with Physician Groups Lc, a 524-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 33
- Licensed in
- MO
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
2630 Highway KO Fallon, MO 63368-6624
Phone: (636) 240-5454
Fax: (636) 980-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 106405 (MO) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 106405 (MO) |
Record details
| NPI number | 1396762910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | July 17, 2006 |
| Last updated in NPPES | February 15, 2021 |
| Certification date | February 15, 2021 |
| Mailing address | 2630 Highway K, O Fallon, MO 63368-6624 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1993 (33 years in practice) |
| Group practice | Physician Groups Lc — 524 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in O Fallon
-
Dr. Victor Beau Bailey, DO
2 Progress Point Pkwy Dept Emergency Med, O Fallon, MO 63368-2205 · (314) 362-9123
-
Bc Progress Emergency Physicians, LLP
2 Progress Point Ct, O Fallon, MO 63368-2208 · (636) 344-1000
-
Dr. Randi Hasselfeld Becker, MD
2 Progress Point Pkwy Dept Emergency Med, O Fallon, MO 63368-2205 · (314) 362-9123
-
Leo Hsu, MD
2 Progress Point Ct, O Fallon, MO 63368-2208 · (636) 344-1151
-
Dr. Nancy Jane Niemann Royer, MD
2 Progress Point Parkway Progress West Health Care Center Attn ER, O Fallon, MO 63368 · (636) 344-1151
-
Anjum Razzaque, MD
2630 Highway K, O Fallon, MO 63368-6624 · (636) 980-5300
-
Dr. Jason Michael Schlautman, MD
2991 Highway K, O Fallon, MO 63368-7862 · (636) 435-2333
-
Robert D Wiele, MD
2 Progress Point CT Progress West Health Ctr, O Fallon, MO 63368-2208 · (314) 740-6471