Individual provider Active NPI

Candace Clary Moore, M.D.

  • Obstetrics & Gynecology Physician
  • New Orleans, LA
National Provider Identifier
1659308583
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.200544 Issued in LA
Practice address
1514 Jefferson Highway
New Orleans, LA 70121
Phone
(504) 842-4000
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD429045 PA
Obstetrics & Gynecology Physician 207V00000X MD.200544 LA Primary

Addresses

Primary practice location

1514 Jefferson Highway
New Orleans, LA 70121

Mailing address

1514 Jefferson Highway
New Orleans, LA 70121
Phone (504) 842-4000

Other identifiers 2

IdentifierTypeStateIssuer
1886629MedicaidLA
01529318MedicaidMS

Other names 1

  • Candace Alanna Clary Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000734 LA Practitioner - Obstetrics/Gynecology 2365445798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Mississippi School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Women'S Healthcare Associates LLCGroup PAC ID 4587629365, 37 clinicians

Practice addresses (Care Compare)

500 Rue de la Vie St
Baton Rouge, LA 70817-5127
Phone (225) 201-2000

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.200544LAMDObstetrics & Gynecology Physician
MD429045PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 1, 2009 Accepting new patients
Obhg Louisiana, LLC Obstetrics & Gynecology CurrentSince Oct 17, 2023 Accepting new patients
Louisiana Women'S Healthcare Associates LLC. Obstetrics & Gynecology CurrentSince Jul 29, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 1, 2009 Accepting new patients
Upmc Magee-Womens Hospital Obstetrics & Gynecology Past Accepting new patients
Woman'S Hospital Foundation Past Accepting new patients
Upmc Magee-Womens Hospital Past Accepting new patients

Locations

500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817
Phone (225) 201-2000

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1514 Jefferson Hwy
New Orleans, LA 70121

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1659308583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HIGHWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HIGHWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CANDACE",
        "middle_name": "CLARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD429045",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.200544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1886629",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01529318",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "CLARY",
            "middle_name": "ALANNA",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.