| Doctor Name: | DEREK W. MOORE |
| NPI Number: | 1134387293 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 238120 |
| Business Practice Address: | 480 Hawthorne Street Southcoast Physician Services, Inc. North Dartmouth, MA - 02747 |
| Business Phone Number: | 5089933555 |
| Business Fax Number: | 5089901176 |
| Mailing Address: | 370 Faunce Corner Road, Southcoast Physician Services, Inc. NORTH DARTMOUTH |
| State: | MA |
| Postal Code: | 02747 |
| Phone Number: | 5089852000 |
| Fax Number: | 5089852001 |
| NPI Enumeration Date: | 05/27/2008 |
| NPI Last Update Date: | 06/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207XS0117X |
| License Number: | 238120 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Orthopaedic Surgery |
| Taxonomy Specialization: | Orthopaedic Surgery of the Spine |
| Taxonomy Definition: | Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |