Provider Demographics
NPI:1669416590
Name:MOORE, DANIEL HOOD (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:HOOD
Last Name:MOORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 COLLIERS WAY
Mailing Address - Street 2:ALL ABOUT WOMEN HEALTH ASSOCIATES
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062
Mailing Address - Country:US
Mailing Address - Phone:304-723-4700
Mailing Address - Fax:252-338-6712
Practice Address - Street 1:651 COLLIERS WAY
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062
Practice Address - Country:US
Practice Address - Phone:304-723-4700
Practice Address - Fax:252-338-6712
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200100170207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC383682761OtherAETNA
NC1289XOtherBC/BS NC
NC891289XMedicaid
NC10016753OtherOPTIMA
NC3075017OtherCIGNA
NCD0307OtherMEDCOST PREFERRED
NC2111201OtherALLIANCE PPO & MAMSI
NC2111201OtherUNITED HEALTH CARE
NC2111201OtherONE NET
NC383682761OtherTRICARE
NC383682761OtherAETNA
NC891289XMedicaid