Doctor profile · Federal record
Dr. Timothy Moore, MD
Cardiovascular Disease Physician · Interventional Cardiology Physician · Cardiovascular Disease Physician · Boise, ID
- NPI 1124064423
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
500 W. Fort St., #111
Boise, ID 83702
(208) 422-1000
fax (208) 422-1319 - Mailing address
-
500 W Fort St # 111
Boise, ID 837024501
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- February 15, 2022
- Specialty taxonomy
- 207RC0000X — NUCC code
- State licenses (2)
- Idaho #M-12911 · Texas #M0189
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124064423. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$179
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 1 | $179.42 |
By nature of payment
Frequently asked questions
What is Dr. Timothy Moore's medical specialty?
Dr. Timothy Moore practices Cardiovascular Disease Physician in Boise, ID.
Where does Dr. Timothy Moore practice?
Dr. Timothy Moore practices at 500 W. Fort St., Boise, ID 83702. Office phone: 2084221000.
What is Dr. Timothy Moore's NPI?
Dr. Timothy Moore's National Provider Identifier (NPI) is 1124064423, issued by NPPES.