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PAUL DEREK MOORE MD
NPI 1417945700
General Practice in Lebanon, PA

Active since October 11, 2005
815 CUMBERLAND ST, SUITE 205, LEBANON, PA 17042(717) 277-7400(717) 277-7402 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Derek Moore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL DEREK MOORE MD (NPI 1417945700) is an individual general practice provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD444618) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1417945700
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NamePAUL DEREK MOORECredential: MD
Location Address815 CUMBERLAND ST, SUITE 205Lebanon, PA 17042-5266
Mailing Address100 N Cameron St, Suite 401eHarrisburg, PA 17101-2424 · (717) 232-8535 · Fax (717) 232-8515
Phone(717) 277-7400
Fax(717) 277-7402
Sole ProprietorNo
Enumeration DateOctober 11, 2005
Last NPPES UpdateSeptember 23, 2016
✔ NPI 1417945700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · MD444618
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License 40759 (CO)
815 CUMBERLAND ST, Lebanon, PA 17042
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Other Identifiers 2

Medicaid09932861CO
Medicare UPINH93750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Moore's NPI number?

The NPI number for Paul Moore is 1417945700. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Paul Moore located?

Paul Moore practices at 815 Cumberland St Suite 205, Lebanon, PA 17042. The listed phone number is (717) 277-7400.

What is Paul Moore's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Paul Moore was last updated on September 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.