Andrea R Moore, PA-C

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

PA150607 Issued in OR

Practice address

3810 S 6TH St Ste 210
Klamath Falls, OR 97603-4760

Phone

(458) 232-1854

Fax

(458) 232-1855

NPI assigned

Jan 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Bear Creek Surgery PA, PC

  • Surgery Physician
  • Ashland, OR
  • NPI 1942252937
  Medicare reassignment NPD
• Kidney Care Physicians LLC

  • Nephrology Physician
  • Salem, OR
  • NPI 1467672261
  Medicare reassignment
• NW Allergy & Asthma Specialists,LLC

  • Allergy & Immunology Physician
  • Beaverton, OR
  • NPI 1215928668
  Medicare reassignment

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1710164587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 S 6TH ST STE 210",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034760",
            "telephone_number": "458-232-1854",
            "fax_number": "458-232-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 S 6TH ST STE 210",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034760",
            "telephone_number": "458-232-1854",
            "fax_number": "458-232-1855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Highway 99 N Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975209152",
            "country_code": "US",
            "telephone_number": "541-488-4464",
            "fax_number": "541-488-3772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "PA150607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Manuel Monreal I
• Paul Louis Monteith, PWS
• Miguel Montes, MD
• Todd Robert Montgomery, RPH
• Holly Montjoy, M.D.
• Laura L Moore, M.D.
• Loretta Gail Moore
• Timothy James Moore, DDS
• Ashley Mora
• Iliana Morales

• Surgery Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.