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DR. ANGELA SUE MOORE DO NPI 1184864076


NPI Information

NPI: 1184864076
Provider Name: DR. ANGELA SUE MOORE, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: NEW MARKET HEALTH CARE LLC

PECOS Registration: Yes

Address:
2131 N RIDGE ROAD
WICHITA, KS
ZIP 67212
Phone: (316) 773-1212
Get Directions

DR. Angela Sue Moore, DO is a family medicine in Wichita, KS with 18 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Angela Sue Moore, DO NPI is 1184864076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2131 N RIDGE ROAD
WICHITA, KS
ZIP 67212-570
Phone: (316) 773-1212
Fax: (316) 440-6601

The NPI 1184864076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 3/5/2009 and was last updated on 4/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine47165COLORADONo
2207Q00000XFamily Medicine0534062KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11184864076OTHERNPI
2200639670AMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.