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MR. MICHAEL RILEY MOORE BOC P. ABC C.F.O.
NPI 1619020427
Prosthetist in El Dorado, AR

Active since January 18, 2007
615 W GROVE ST, EL DORADO, AR 71730(870) 862-0241(903) 838-8094 Get Directions Write a Review

NPPES record last updated: January 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Riley Moore Boc P. Abc C.f.o. NPPES

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

MR. MICHAEL RILEY MOORE BOC P. ABC C.F.O. (NPI 1619020427) is an individual prosthetist provider in El Dorado, Arkansas, licensed in Arkansas (OPP00120) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1619020427
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameMR. MICHAEL RILEY MOORECredential: BOC P. ABC C.F.O.
Location Address615 W GROVE STEl Dorado, AR 71730-4413
Mailing Address615 W Grove StEl Dorado, AR 71730-4413 · (870) 862-0241 · Fax (903) 838-8094
Phone(870) 862-0241
Fax(903) 838-8094
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJanuary 21, 2009
✔ NPI 1619020427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in AR · OPP00120
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedOrthotistTaxonomy 222Z00000X · License OPP00120 (AR)
615 W GROVE ST, El Dorado, AR 71730
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Other Providers at the Same Location NPPES

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

HANGER PROSTHETICS & ORTHOTICS EAST INC
Prosthetic/Orthotic Supplier
615 W GROVE ST
EL DORADO, AR 71730
Union County (870) 862-0241

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 Michael Moore's NPI number?

The NPI number for Michael Moore is 1619020427. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Michael Moore located?

Michael Moore practices at 615 W Grove St, El Dorado, AR 71730. The listed phone number is (870) 862-0241.

What is Michael Moore's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Michael Moore was last updated on January 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.