Healthcare Provider Details

I. General information

NPI: 1730839176
Provider Name (Legal Business Name): ARIEL MOORE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ARIEL ORR MD

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S MAIN ST STE 100
SEARCY AR
72143-7801
US

IV. Provider business mailing address

400 S MAIN ST STE 100
SEARCY AR
72143-7801
US

V. Phone/Fax

Practice location:
  • Phone: 501-279-9000
  • Fax: 501-279-9011
Mailing address:
  • Phone: 501-279-9000
  • Fax: 501-279-9011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-19641
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: