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DEREK MOORE
NPI 1659931046
Family Medicine in Philadelphia, PA

Active since June 18, 2019
10 SHURS LN STE 301, PHILADELPHIA, PA 19127(215) 967-1632 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2019, Jun 18, 2019 (2 updates tracked since 2019).

About Derek Moore NPPES

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

DEREK MOORE (NPI 1659931046) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT219038) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1659931046
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEREK MOORE
Location Address10 SHURS LN STE 301Philadelphia, PA 19127-2123
Mailing Address10 Shurs Lane Suite 301Philadelphia, NJ 19127-2629 · (215) 482-1234
Phone(215) 967-1632
Sole ProprietorYes
Enumeration DateJune 18, 2019
Last NPPES UpdateAugust 1, 20192 updates tracked since enumeration
✔ NPI 1659931046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MT219038
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10 SHURS LN STE 301, Philadelphia, PA 19127
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

AMELIA JILL SANDOE M.D.
Family Medicine
10 SHURS LN STE 301
PHILADELPHIA, PA 19127
Philadelphia County (215) 967-1632
DR. STEFANIE SARAH THOMASSIN
Family Medicine
10 SHURS LN STE 301
PHILADELPHIA, PA 19127
Philadelphia County (215) 482-1234
DR. SHRADDHA KRISHNAN MD
Family Medicine
10 SHURS LN STE 301
PHILADELPHIA, PA 19127
Philadelphia County (215) 967-1632
ADERINSOLA OLUWASIKEMI ODETUNDE MD
Family Medicine
10 SHURS LN STE 301
PHILADELPHIA, PA 19127
Philadelphia County (484) 659-0357

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 Derek Moore's NPI number?

The NPI number for Derek Moore is 1659931046. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Derek Moore located?

Derek Moore practices at 10 Shurs Ln Ste 301, Philadelphia, PA 19127. The listed phone number is (215) 967-1632.

What is Derek Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Derek Moore was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.