EVAN MICHAEL MOORE (NPI# 1902240559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902240559 |
| Entity Type | Individual |
| Full Name | EVAN MICHAEL MOORE |
| Credential | M.D. |
| Practice Address |
1401 Harrodsburg Rd Ste B75 Lexington KY 40504-1724 |
| Practice Telephone | 8592763883 |
| Mailing Telephone | 8592763883 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 52794 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100324190 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757509 | Evan Moore | Counselor | 1490 N. Lafayette St, Suite 108, Denver, CO 80218-2391 | 2020-07-14 |
| 1548870934 | Evan C Moore | Nurse Practitioner | 924 N Country Club Dr, Mesa, AZ 85201-4108 | 2020-07-31 |
| 1548828916 | Evan S Moore | Dentist | 201 N Dalton St, Madison, NC 27025-1903 | 2019-05-31 |
| 1366922858 | Evan K Moore | Physical Therapy Assistant | 5665 Creekside Forest Dr, Spring, TX 77389-4969 | 2018-08-15 |
| 1699982496 | Evan Robert Moore | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2007-05-17 |
| 1205053063 | Evan Corlee Moore | Emergency Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2007-04-20 |
| Street Address |
1401 HARRODSBURG RD STE B75 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205896826 | John Michael Moore | Plastic Surgery | 1401 Harrodsburg Rd Ste B75, Lexington, KY 40504 | 2006-03-27 |
| 1699909853 | Michael Paul Lynch | Plastic Surgery | 1401 Harrodsburg Rd Ste B75, Lexington, KY 40504 | 2009-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235544602 | Ashley Boustany | Plastic Surgery | University of Ky 800 Rose St, Lexington, KY 40536-0001 | 2014-06-24 |
| 1952720880 | Commonwealth Plastic Surgery, Pllc | Plastic Surgery | 715 Shaker Dr Ste 100, Lexington, KY 40504-3674 | 2014-04-08 |
| 1366885675 | Morgan Brgoch | Plastic Surgery | Uk Surgery Clinic - Plastic Surgery, 740 S Limestone Ste E101, Lexington, KY 40536-0284 | 2013-04-17 |
| 1578879300 | Anil Duggal | Plastic Surgery | 740 S Limestone St E101, Lexington, KY 40536-4412 | 2010-08-31 |
| 1518287044 | Sonata Plastic Surgery, Pllc | Plastic Surgery | 3260 Blazer Pkwy, Suite 102, Lexington, KY 40509-2116 | 2010-06-07 |
| 1245464387 | John Bradley Turner | Plastic Surgery | 3288 Eagle View Ln, Suite 300, Lexington, KY 40509-9020 | 2009-05-04 |
| 1164688909 | Stephen Alexander Schantz | Plastic Surgery | 3288 Eagle View Ln Ste 300, Lexington, KY 40509-9019 | 2008-07-31 |
| 1144492638 | Theodore L. Gerstle | Plastic Surgery | 3363 Tates Creek Rd Ste 209, Lexington, KY 40502 | 2008-03-25 |
| 1912058132 | Bruce R Barton | Plastic Surgery | 2414 Greatstone Pt, Lexington, KY 40504-3274 | 2007-01-15 |
| 1659484681 | David S Kirn | Plastic Surgery | 2376 Alexandria Dr, Lexington, KY 40504-3229 | 2006-08-16 |
| 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.