O Fred Moore III MD PC
NPI 1720208242ActiveOrganization· Surgery· Dyersburg, TN
Surgery in Dyersburg, Tennessee, registered in NPPES in April 2007. The authorized official on file is Olyn Fred Moore, MD, President Of Corporation.
Overview
| NPI | 1720208242 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 26, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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