ANDREW MOORE – NPI #1386866572
Obstetrics & Gynecology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

ANDREW MOORE is a physician located in PROVO, UT. NPPES has assigned the NPI number 1386866572 to ANDREW MOORE on May 03, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VE0102X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Reproductive Endocrinology

The NPI profile was previously updated about 4 years ago on Feb 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDREW MOORE below.

NPI Profile for
ANDREW MOORE

NPI Number
1386866572
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ANDREW MOORE
Primary location
1900 N STATE ST STE 105
PROVO, UT 84604-1354
Phone: (801) 655-5245 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ANDREW MOORE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAKY9328408
OTHERANTHEMKY000000610833
OTHERANTHEMKY000000610836
OTHERMEDICARE - FOUNDATIONKY0722557
OTHERPASSPORT ADVANTAGEKY3726875000
OTHERPASSPORT ADVANTAGE PCPKY3726872000
OTHERPASSPORT ADVANTAGE SPECIALITYKY3726871000
OTHERPASSPORT PCPKY50024902
OTHERPASSPORT SPECIALITYKY50024905
OTHERPASSPORT SPECIALTYKY50024901
MEDICAIDIN200947330
MEDICAIDKY7100074130
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VE0102X
- Obstetrics & Gynecology / Reproductive Endocrinology (Primary)
UT 8198024-1205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.