Dr. John Russell Moore, M.D.
Dr. John Russell Moore is a Urology Physician provider (Urology) practicing in Independence, MO, registered in the NPPES registry with NPI 1114977550 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114977550 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. John Russell Moore |
| Credential | M.D. |
| Sex | Male |
| Practice address | 19001 E 48TH ST S, Independence, MO, 64055 |
| Phone | 8168368831 |
| Fax | 8167950144 |
| Enumeration date | 2006-05-10 |
| Last updated in NPPES | 2014-09-21 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208800000X | Urology Physician | Primary | 2001004851 | MO |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204467005 | Medicaid | MO | — |
Copy-ready billing details
Provider: John Moore, M.D. NPI: 1114977550 Taxonomy: 208800000X (Urology Physician) Address: 19001 E 48TH ST S, Independence, MO, 64055
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336198845 | Harold Lentz | Individual | Urology Physician | Independence, MO |
| 1649220088 | Bradley Stanley | Individual | Urology Physician | Independence, MO |
| 1932158300 | William Wilson | Individual | Urology Physician | Independece, MO |
| 1720037195 | Robert Biber | Individual | Urology Physician | Independence, MO |
| 1972553378 | David Lewing | Individual | Urology Physician | Independence, MO |
| 1679529754 | Midwest Urology & Radiation Oncology, Inc, PC. | Organization | Urology Physician | Independence, MO |
| 1083738116 | James Mcintosh | Individual | Urology Physician | Independence, MO |
| 1891992228 | Elizabeth Piontek | Individual | Urology Physician | Independence, MO |
Verify this record
Cross-check NPI 1114977550 against the authoritative CMS record: view Dr. John Russell Moore on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-09-21.