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SOUTH MOORE MEDICAL CLINIC
NPI 1972545218
Family Medicine in Moore, OK

Active since June 12, 2006
14800 S WESTERN AVE, MOORE, OK 73170(405) 912-4900(405) 912-4903 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Moore Medical Clinic NPPES

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

SOUTH MOORE MEDICAL CLINIC (NPI 1972545218) is a healthcare organization registered as a family medicine in Moore, Oklahoma and active in the NPI registry since June 2006. The organization lists Keith R. Layne, Physician, as its authorized official.

NPPES Registry Identity

NPI1972545218
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH MOORE MEDICAL CLINIC,PC
Location Address14800 S WESTERN AVEMoore, OK 73170-7112
Mailing AddressPo Box 25887Oklahoma City, OK 73125-0887 · (405) 912-4900 · Fax (405) 912-4903
Phone(405) 912-4900
Fax(405) 912-4903
Organization SubpartNo
Authorized OfficialKeith R. LaynePhysician · (405) 912-4900
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972545218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
14800 S WESTERN AVE, Moore, OK 73170
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Other Names 1

Doing Business AsSouth Moore Medical Clinic

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 2

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

DR. KEITH R LAYNE D.O.
Family Medicine
14800 S WESTERN AVE
MOORE, OK 73170
Cleveland County (405) 515-0330
SOUTH MOORE MEDICAL CLINIC, PC
Durable Medical Equipment & Medical Supplies
14800 S WESTERN AVE
MOORE, OK 73170
Cleveland County (405) 912-4900

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 South Moore Medical Clinic,pc's NPI number?

The NPI number for South Moore Medical Clinic,pc is 1972545218. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as South Moore Medical Clinic.

Where is South Moore Medical Clinic,pc located?

South Moore Medical Clinic,pc is located at 14800 S Western Ave, Moore, OK 73170. The listed phone number is (405) 912-4900.

What is South Moore Medical Clinic,pc'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 South Moore Medical Clinic,pc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.