MR. DAVID WENDELL MOORE (NPI# 1427003524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427003524 |
Entity Type | Individual |
Full Name | MR. DAVID WENDELL MOORE |
Credential | PA-C |
Practice Address |
101 Prosperous Pl Ste 300 Lexington KY 40509-1836 |
Mailing Address |
120 Executive Park Louisville KY 40207-4201 |
Practice Telephone | 8592755229 |
Practice Fax Number | 8599772683 |
Mailing Telephone | 5024099925 |
Mailing Fax Number | 5029199780 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2019-01-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA347 | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | ANTHEM PIN | 000000299029 | 01 |
KY | HUMANA PIN | 611369666 | 01 |
IN | 300009771 | 05 | |
CARESOURCE ID | CS1801900158 | 01 | |
KY | DEPARTMENT OF LABOR | 164291500 | 01 |
AETNA PIN | 7085548 | 01 | |
KY | 95003471 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053975979 | David Brent Moore | Speech-Language Pathologist | 2201 W Iowa Ave Ste 5, Chickasha, OK 73018-2732 | 2019-04-25 |
1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
1609221209 | David Christopher Moore | Anesthesiology | 75 Francis St # Cw-l1, Boston, MA 02115-6110 | 2016-05-02 |
1114389780 | David Jan Moore | Emergency Medicine | 6015 Tyndall Ave, Bronx, NY 10471-1812 | 2016-03-23 |
1679915060 | David E Moore | Dentist | 11 N 11th Ave Ste 107, Yakima, WA 98902-3085 | 2013-07-25 |
1346503349 | David Moore | Family Medicine | 6282 Edgecreek Ln, Columbus, OH 43231-7645 | 2012-06-25 |
1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
1821357468 | David John Moore | Acupuncturist | 1210 Lehigh St, Boulder, CO 80305-6352 | 2012-05-15 |
1922306760 | David Jonathan Moore | Specialist/Technologist, Other | 674 Mesa Ct, Rifle, CO 81650-2529 | 2011-03-02 |
1497989933 | David B Moore | Registered Nurse | 4801 College Blvd., Leawood, KS 66211-1628 | 2009-05-13 |
Street Address |
101 PROSPEROUS PL STE 300 |
City | LEXINGTON |
State | KY |
Zip Code | 40509-1836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780190348 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2017-12-19 |
1962929307 | Crystal Jane Humphries | Nurse Practitioner | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2017-08-25 |
1558629410 | Brandon Erik Gish | Anesthesiology | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2012-04-30 |
1780845347 | Anjum Bux, M.d., P.s.c. | Registered Nurse | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2008-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
Find all providers in zip 40509 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306118617 | Lb Health Psc | Physician Assistant | 1904 Nicholasville Rd, Lexington, KY 40503-2025 | 2012-02-01 |
1174890172 | Clayton Phillip Gatterdam Iv | Physician Assistant | 3205 Summit Square Suite 100, Lexington, KY 40509 | 2011-11-19 |
1134237340 | Rebecca Ward Hogsten | Physician Assistant | 4071 Tates Creek Centre Dr Ste 100, Lexington, KY 40517-3062 | 2006-08-28 |
1376514760 | Kerri F Stillwell | Physician Assistant | 110 Houston Street, Lexington, VA 24450-0912 | 2006-02-01 |
1215914684 | Philip Harold Lafleur | Physician Assistant | 1055 Dove Run Road, Lexington, KY 40502 | 2005-12-28 |
1083690317 | Jana Sue Cuddy | Physician Assistant | 1055 Dove Run Rd, Lexington, KY 40502 | 2005-12-19 |
1942852157 | Anna Gayle Scott | Physician Assistant | 989 Governors Ln Ste 220, Lexington, KY 40513-1175 | 2019-07-09 |
1609333582 | Hannah Leigh Burford | Physician Assistant | 1401 Harrodsburg Rd Ste C305, Lexington, KY 40504-3771 | 2019-02-27 |
1881177186 | Sarah Kruyer | Physician Assistant | 250 Hospital Dr, Lexington, NC 27292-6792 | 2018-09-12 |
1376073106 | Megan Eileen Smith | Physician Assistant | 250 Hospital Dr, Lexington, NC 27292-6792 | 2017-06-14 |
Find all providers in LEXINGTON |
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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.