Individual provider · Type 1 NPI

Otha Moore

Exclusive Provider Organization · Southfield, MI

NPI number 1275902132 Active

Practice location

18430 Westhampton
Southfield, MI 48075

Mailing address

18430 Westhampton Ave
Southfield, MI 48075-4116

Specialties and licenses

TaxonomyCodeLicense
Exclusive Provider Organization Primary 302F00000X7153185 (MI)

Exclusive Provider Organization: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay t…

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About NPI 1275902132

Otha Moore's National Provider Identifier is 1275902132, issued on Sep 22, 2015. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in Southfield, MI. The record was last updated on Sep 22, 2015.