Individual provider Active NPI

Lauren Brittany Moore, M.D.

  • Pediatric Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1295029569
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
38752 Issued in SC
Practice address
3510 N Loop 1604 E
San Antonio, TX 78247-2303
Phone
(210) 375-7790
Fax
(210) 979-9686
NPI assigned
Jun 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X S5996 TX
Student in an Organized Health Care Education/Training Program 390200000X NM
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Anesthesiology Physician 207LP3000X 38752 SC Primary

Addresses

Primary practice location

3510 N Loop 1604 E
San Antonio, TX 78247-2303

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161010000014 SC Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 2961719109 Reassigns benefits to 1 organization
I20200624000215 TX Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 2961719109 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA CurrentSince May 21, 2020 Accepting new patients
Tejas Anesthesia PLLC CurrentSince Jun 20, 2020 Accepting new patients
Texas Anesthesia Team PLLC CurrentSince May 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Children'S Physician Services of South Texas CurrentSince Feb 1, 2025 Accepting new patients
Tejas Anesthesia PLLC Pediatric Anesthesiology CurrentSince Jun 20, 2020 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., CurrentSince May 21, 2020 Accepting new patients
University Medical Associates of the Medical University of South Carol Pediatric Anesthesiology CurrentSince Aug 11, 2016 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Aug 11, 2016 Accepting new patients
Children'S Physician Services of South Texas CurrentSince Feb 1, 2025 Accepting new patients
Children'S Physician Services of South Texas Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

4525 Ayers St
Corpus Christi, TX 78415
Phone (877) 324-7543

3800 N Shepherd Dr
Ste B
Houston, TX 77018
Phone (832) 331-2969

8545 Gulf Fwy
Houston, TX 77017
Phone (713) 941-7737

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

10999 W Interstate 10
Ste 903
San Antonio, TX 78230
Phone (210) 375-7790

8706 Fredericksburg Rd
Ste 104
San Antonio, TX 78240
Phone (210) 714-2488

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9709 Lakeside Blvd
Ste 350
Spring, TX 77381

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1295029569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N LOOP 1604 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472303",
            "telephone_number": "210-375-7790",
            "fax_number": "210-979-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAUREN",
        "middle_name": "BRITTANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-04",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "TX",
            "license": "S5996",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "SC",
            "license": "38752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.