Provider Type Icon

DR. ANNA ELIZABETH MOORE MD NPI 1518595701


NPI Information

NPI: 1518595701
Provider Name: DR. ANNA ELIZABETH MOORE, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
FIVE RIVERS FAMILY HEALTH CENTER
2261 PHILADELPHIA DR. SUITE 301
DAYTON, OH
ZIP 45406
Phone: (937) 734-4141
Get Directions

DR. Anna Elizabeth Moore, MD is a student in an organized health care education training program in Dayton, OH with 4 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Anna Elizabeth Moore, MD NPI is 1518595701. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

FIVE RIVERS FAMILY HEALTH CENTER
2261 PHILADELPHIA DR. SUITE 301
DAYTON, OH
ZIP 45406
Phone: (937) 734-4141

The NPI 1518595701 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 enumeration date for this NPI number is 4/1/2020 and was last updated on 4/1/2020.


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
1390200000XStudent in an Organized Health Care Education/Training Program57.249165OHIOYes

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
157.249165OTHEROHIOSTATE OF OHIO TRAINING CERTIFICATE

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

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.