ANDREW MOORE NPI 1386866572

NPI Information

NPI: 1386866572
Provider Name: ANDREW MOORE
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

Address:
1900 N STATE ST STE 105
PROVO, UT
ZIP 84604
Phone: (801) 655-5245
Get Directions

Andrew Moore is a reproductive endocrinology obstetrics gynecology in Provo, UT. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. Andrew Moore NPI is 1386866572. 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:

1900 N STATE ST STE 105
PROVO, UT
ZIP 84604-354
Phone: (801) 655-5245

The enumeration date for this NPI number is 5/3/2007 and was last updated on 2/23/2022.

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	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	8198024-1205	UTAH	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	3726871000	OTHER	KENTUCKY	PASSPORT ADVANTAGE SPECIALITY
2	9328408	OTHER	KENTUCKY	AETNA
3	000000610836	OTHER	KENTUCKY	ANTHEM
4	50024901	OTHER	KENTUCKY	PASSPORT SPECIALTY
5	000000610833	OTHER	KENTUCKY	ANTHEM
6	50024902	OTHER	KENTUCKY	PASSPORT PCP
7	200947330	MEDICAID	INDIANA
8	3726875000	OTHER	KENTUCKY	PASSPORT ADVANTAGE
9	50024905	OTHER	KENTUCKY	PASSPORT SPECIALITY
10	7100074130	MEDICAID	KENTUCKY
11	0722557	OTHER	KENTUCKY	MEDICARE - FOUNDATION
12	3726872000	OTHER	KENTUCKY	PASSPORT ADVANTAGE PCP

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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