MR. DAVID WENDELL MOORE PA-C NPI 1427003524

NPI Information

NPI: 1427003524
Provider Name: MR. DAVID WENDELL MOORE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
101 PROSPEROUS PL STE 300
LEXINGTON, KY
ZIP 40509
Phone: (859) 275-5229
Get Directions

MR. David Wendell Moore, PA-C is a medical physician assistant in Lexington, KY with 29 years of experience. MR. David Wendell Moore, PA-C NPI is 1427003524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 PROSPEROUS PL STE 300
LEXINGTON, KY
ZIP 40509-836
Phone: (859) 275-5229
Fax: (859) 977-2683

The NPI 1427003524 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.

Testing for presence of drug (HCPCS:80305)

The enumeration date for this NPI number is 5/24/2006 and was last updated on 6/9/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA347	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300009771	MEDICAID	INDIANA
2	CS1801900158	OTHER		CARESOURCE ID
3	164291500	OTHER	KENTUCKY	DEPARTMENT OF LABOR
4	84555KYIP	OTHER	KENTUCKY	AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
5	000000299029	OTHER	KENTUCKY	ANTHEM PIN
6	95003471	MEDICAID	KENTUCKY
7	611369666	OTHER	KENTUCKY	HUMANA PIN
8	1468559	OTHER	KENTUCKY	WELLCARE OF KY PROVIDER ID NUMBER
9	7085548	OTHER		AETNA PIN
10	11368446	OTHER		CAQH PROVIDER ID

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: 4/28/2024

NPI Synchronization or Removal

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