MR. GLENN I MOORE


Address: 1720 Nicholasville Rd, Suite 400, Lexington, KY 40503-1475
Phone: 8592780363

MR. GLENN I MOORE (NPI# 1396735577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396735577
Entity Type Individual
Full Name MR. GLENN I MOORE
Credential MD
Practice Address 1720 Nicholasville Rd
Suite 400
Lexington
KY 40503-1475
Practice Telephone 8592780363
Practice Fax Number 8592776938
Mailing Telephone 8592780363
Mailing Fax Number 8592776938
Enumeration Date 2005-10-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
15567 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64155674 05

Other Providers GLENN MOORE

NPI Name Taxonomy Address Enumeration
1518416015 Glenn Moore Counselor 9 Kindle Ct, Clayton, NJ 08312-2158 2016-09-25
1669695870 Glenn Moore Preventive Medicine 40732 Van Dyke Ave., Sterling Heights, MI 48313-3741 2007-04-10

Office Location

Street Address 1720 NICHOLASVILLE RD
SUITE 400
City LEXINGTON
State KY
Zip Code 40503-1475

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639179484 John J Gohmann Internal Medicine 1720 Nicholasville Rd, Suite 701, Lexington, KY 40503-1404 2005-07-22
1275167876 Stephen P Schmelzer Nurse Anesthetist, Certified Registered 1720 Nicholasville Rd, Lexington, KY 40503-1404 2020-02-24
1104334184 Shasta Cecil Nurse Practitioner 1720 Nicholasville Rd, Lexington, KY 40503-1404 2018-01-12
1194265827 Matthew Kuhl Nurse Practitioner 1720 Nicholasville Rd, Suite 500, Lexington, KY 40503-1404 2017-02-28
1477002335 Kassie Popp Nurse Practitioner 1720 Nicholasville Rd, Suite 601, Lexington, KY 40503-1404 2016-10-03
1932656956 Lori Hazelwood Physician Assistant 1720 Nicholasville Rd, Suite 502, Lexington, KY 40503-1404 2016-09-07
1932552197 Sabrina Tucker Nurse Practitioner 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1404 2016-07-22
1568818946 Cristina Elena Mcgrannahan Physician Assistant 1720 Nicholasville Rd, Suite 601, Lexington, KY 40503-1404 2016-05-04
1871948976 Kristy Salley Nurse Practitioner 1720 Nicholasville Rd, 601, Lexington, KY 40503-1404 2016-04-27
1609270388 Nicole Clevinger Nurse Practitioner 1720 Nicholasville Rd, Suite 601, Lexington, KY 40503-1404 2014-10-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548804743 Lucas Kyle Brothers Occupational Therapist 401 Lewis Hargett Cir #120, Lexington, KY 40503 2019-10-30
1598322364 Bobbi Jo Macqueston Developmental Therapist 825 Apache Trail, Lexington, KY 40503 2019-05-28
1750846234 Smart Dental & Hygiene Express Dentist 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 2019-02-08
1780148353 Southland Child, Adult, and Family Counseling Counselor 2039 Regency Rd., Ste 1, Lexington, KY 40503 2019-01-28
1073093357 Amanda Zachem Nurse Practitioner 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 2018-08-16
1083101240 Man O War Urgent Care LLC Nurse Practitioner 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 2018-04-13
1255833737 Bennett Gatto Physical Therapist 3882 Mall Road, Lexington, KY 40503 2018-03-01
1528566114 Alteri, LLC Counselor 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 2018-01-29
1245748235 Sherry Kay Adkins Registered Nurse Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 2018-01-12
1003334780 Martin Bennett Hundley Counselor 274 Southland Dr # 204, Lexington, KY 40503 2017-09-01
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215598230 Elite Gynecology Obstetrics & Gynecology 163 Lake Murray Ter, Lexington, SC 29072-9103 2019-06-21
1003974171 Lake Murray Obgyn Obstetrics & Gynecology 1404 W Main St Ste 1, Lexington, SC 29072-2332 2006-12-04
1679708432 Lexmedical, Inc. Obstetrics & Gynecology 106 W Medical Park Dr, B, Lexington, NC 27292-6853 2009-05-22
1922207356 Alisa C Gambrell Obstetrics & Gynecology University of Kentucky, 800 Rose Street, C-358, Lexington, KY 40536-0293 2007-07-16
1356448211 James Christopher Stein Obstetrics & Gynecology University of Kentucky, 800 Rose Street, Lexington, KY 40506-0001 2006-09-20
1801819602 Robert Bernard Thompson Obstetrics & Gynecology 160 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-2121 2006-07-25
1407872559 Waller Lisle Dalton Obstetrics & Gynecology 800 Rose Street, Lexington, KY 40536-0001 2006-07-14
1952345415 Kathryn Dillon Obstetrics & Gynecology 800 Rose Street, Lexington, KY 40536-0001 2006-06-15
1801830328 Paul Duane Depriest Obstetrics & Gynecology 800 Rose Street, Lexington, KY 40536-0001 2006-06-15
1538103056 Christopher Phillip Desimone Obstetrics & Gynecology 800 Rose Street, Lexington, KY 40536-0001 2006-06-15
Find all providers in LEXINGTON

Competitor

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City LEXINGTON
Zip Code 40503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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