Provider Demographics
NPI:1316033574
Name:MOORE, HUGH SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:SCOTT
Last Name:MOORE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3-3420 KUHIO HWY STE B
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1098
Mailing Address - Country:US
Mailing Address - Phone:808-245-1504
Mailing Address - Fax:808-246-1363
Practice Address - Street 1:5371 KOLOA ROAD
Practice Address - Street 2:
Practice Address - City:KOLOA
Practice Address - State:HI
Practice Address - Zip Code:96756
Practice Address - Country:US
Practice Address - Phone:808-742-1621
Practice Address - Fax:808-742-1592
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2025-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-23541207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09016034Medicaid
MS09016034Medicaid