GRANT K MOORE MD
NPI 1528040417
Otolaryngology in Springfield, MA

Active since November 16, 2005
100 WASON AVENUE, SUITE 100, SPRINGFIELD, MA 01107(413) 732-7426(413) 734-2371 Get Directions Write a Review

NPPES record last updated: October 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grant K Moore Md NPPES

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

GRANT K MOORE MD (NPI 1528040417) is an individual otolaryngology provider in Springfield, Massachusetts, licensed in Massachusetts (72182) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1528040417
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameGRANT K MOORECredential: MD
Location Address100 WASON AVENUE, SUITE 100Springfield, MA 01107
Mailing Address100 Wason Avenue, Suite 100Springfield, MA 01107 · (413) 732-7426 · Fax (413) 734-2371
Fax(413) 734-2371
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateOctober 5, 2009
NPI 1528040417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in MA · 72182 Licensed in NY · 2372051
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

100 WASON AVENUE, Springfield, MA 01107

Other Identifiers 5

Medicare ID-Type UnspecifiedJ09929
Medicaid02668239NY
Medicaid3065898MA
Medicare UPINA76834
Medicare ID-Type UnspecifiedRA7622NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
100 WASON AVENUE, SUITE 100
SPRINGFIELD, MA 01107
Otolaryngology
100 WASON AVENUE, SUITE 100
SPRINGFIELD, MA 01107
Urology
100 WASON AVENUE, SUITE 120
SPRINGFIELD, MA 01107
Urology
100 WASON AVENUE, SUITE 120
SPRINGFIELD, MA 01107
Urology
100 WASON AVENUE, SUITE 120
SPRINGFIELD, MA 01107
Urology
100 WASON AVENUE, SUITE 120
SPRINGFIELD, MA 01107
Urology
100 WASON AVENUE, SUITE 120
SPRINGFIELD, MA 01107
Urology
100 WASON AVENUE, SUITE 120
SPRINGFIELD, MA 01107

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 Grant Moore's NPI number?

The NPI number for Grant Moore is 1528040417. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Grant Moore located?

Grant Moore practices at 100 Wason Avenue Suite 100, Springfield, MA 01107. The listed phone number is (413) 732-7426.

What is Grant Moore's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Grant Moore was last updated on October 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.