Active NPI
Elizabeth Ann Moore, D.O.
- Obstetrics & Gynecology Physician
- West Chester, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34011081
- Practice address
- 7700 University Dr
West Chester, OH 45069-2505 - Phone
- (513) 475-8248
- Fax
- (513) 475-8468
- NPI assigned
- Oct 1, 2009
- Last updated
- Jan 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | 34011081 | OH | Primary |
Addresses
Primary practice location
7700 University Dr
West Chester, OH 45069-2505
Mailing address
2830 Victory Pkwy
Cincinnati, OH 45206-1785
Phone (513) 245-3031
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34011081 | Other | OH | OHIO LICENSE |
| 0091384 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- West Virginia School of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2123 Auburn Ave
Suite 120
Cincinnati, OH 45219-2906
Phone (513) 585-1980
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.21 of 100
- Quality
- 88
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34011081 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christ Hospital Medical Specialists LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
2123 Auburn Ave
Ste 120
Cincinnati, OH 45219
Phone (513) 245-3113
2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400
Interoperability endpoints
- emoore13470@direct.ketteringhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Cincinnati, OH
- NPI 1124341649
Obstetrics & Gynecology
Hospital & facility affiliations 1
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": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1750615100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VICTORY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061785",
"telephone_number": "513-245-3031",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 UNIVERSITY DR",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692505",
"telephone_number": "513-475-8248",
"fax_number": "513-475-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "34011081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO LICENSE",
"identifier": "34011081",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091384",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.