MR. DAVID WENDELL MOORE


Address: 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836
Phone: 8592755229

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA347 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

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

Other Providers DAVID MOORE

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

Office Location

Street Address 101 PROSPEROUS PL STE 300
City LEXINGTON
State KY
Zip Code 40509-1836

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LEXINGTON
Zip Code 40509

Improve Information

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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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