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SAM MOORE D.O.
NPI 1972516797
Family Medicine in Champaign, IL

Active since August 14, 2006
1701 W. CURTIS, CHAMPAIGN, IL 61822(217) 365-6203(217) 383-4752 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sam Moore D.o. NPPES

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

SAM MOORE D.O. (NPI 1972516797) is an individual family medicine provider in Champaign, Illinois, licensed in Illinois (036075380) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1972516797
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAM MOORECredential: D.O.
Location Address1701 W. CURTISChampaign, IL 61822-9678
Mailing Address602 W University AveUrbana, IL 61801-2530 · (217) 383-3311
Phone(217) 365-6203
Fax(217) 383-4752
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateDecember 11, 2013
✔ NPI 1972516797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036075380
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.
1701 W. CURTIS, Champaign, IL 61822
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Other Identifiers 5

OtherIL2613IL · Medicare Group Ptan
Medicare NSC0533210001IL
Medicare UPINF400105783IL
Medicare PINIL2613026IL
Medicare UPINE33211IL

Other Providers at the Same Location NPPES 2

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

SHELLY JO REITEN PAC
Physician Assistant
1701 W. CURTIS
CHAMPAIGN, IL 61822
Champaign County (217) 365-6203
DR. ROBERT T WOODWARD MD
Family Medicine
1701 W. CURTIS
CHAMPAIGN, IL 61822
Champaign County (217) 365-6203

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 Sam Moore's NPI number?

The NPI number for Sam Moore is 1972516797. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Sam Moore located?

Sam Moore practices at 1701 W. Curtis, Champaign, IL 61822. The listed phone number is (217) 365-6203.

What is Sam 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 Sam Moore was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.