Individual provider Active NPI

Glenn I Moore, MD

  • Gynecology Physician
  • Lexington, KY
National Provider Identifier
1396735577
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
15567 Issued in KY
Practice address
1720 Nicholasville Rd
Suite 400
Lexington, KY 40503-1475
Phone
(859) 278-0363
Fax
(859) 277-6938
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 15567 KY Primary

Addresses

Primary practice location

1720 Nicholasville Rd
Suite 400
Lexington, KY 40503-1475

Mailing address

1720 Nicholasville Rd
Suite 400
Lexington, KY 40503-1475
Phone (859) 278-0363

Other identifiers 1

IdentifierTypeStateIssuer
64155674MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Center PLLC Current Accepting new patients

Locations

1720 Nicholasville Rd
Ste 400
Lexington, KY 40503
Phone 8592775887 ext. 7601

1720 Nicholasville Rd
#413
Lexington, KY 40503
Phone (859) 277-5776

1720 Nicholasville Rd
Ste 402
Lexington, KY 40503
Phone (859) 278-0363

Organizations & group practices 1

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396735577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD",
            "address_2": "SUITE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031475",
            "telephone_number": "859-278-0363",
            "fax_number": "859-277-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD",
            "address_2": "SUITE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031475",
            "telephone_number": "859-278-0363",
            "fax_number": "859-277-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GLENN",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "15567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64155674",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.