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DR. RANDALL JAY MOORE M.D., M.P.H., C.P.E
NPI 1992780597
Preventive Medicine - Aerospace Medicine in Mountain Home Afb, ID

Active since December 07, 2005
366MDG/SGPF, 90 HOPE DRIVE; BLDG 6000, MOUNTAIN HOME AFB, ID 83648(208) 828-7401 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randall Jay Moore M.d., M.p.h., C.p.e NPPES

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

DR. RANDALL JAY MOORE M.D., M.P.H., C.P.E (NPI 1992780597) is an individual aerospace medicine provider in Mountain Home Afb, Idaho, licensed in Idaho (M-4332) and active in the NPI registry since December 2005. He maintains a secondary practice location in Mccall.

NPPES Registry Identity

NPI1992780597
Entity TypeIndividualMale
Primary Taxonomy2083A0100X
Provider Legal NameDR. RANDALL JAY MOORECredential: M.D., M.P.H., C.P.E
Location Address366MDG/SGPF, 90 HOPE DRIVE; BLDG 6000Mountain Home Afb, ID 83648
Mailing AddressPo Box 1338Mccall, ID 83638-1338 · (808) 772-0871
Phone(208) 828-7401
Sole ProprietorYes
Enumeration DateDecember 7, 2005
Last NPPES UpdateMay 29, 2018
✔ NPI 1992780597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0100X
Licenses✔ Licensed in ID · M-4332✔ Licensed in MT · 4463✔ Licensed in AZ · 17958
Definition
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
366MDG/SGPF, Mountain Home Afb, ID 83648
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Secondary Practice Location 1

Location 11129 Rim DriveMcCall, ID 83638 · Phone (808) 772-0871

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 Randall Moore's NPI number?

The NPI number for Randall Moore is 1992780597. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Randall Moore located?

Randall Moore practices at 366mdg/Sgpf 90 Hope Drive; Bldg 6000, Mountain Home Afb, ID 83648. The listed phone number is (208) 828-7401.

What is Randall Moore's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

When was this NPI record last updated?

The NPPES record for Randall Moore was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.