Active NPI
Andrew Erle Moore, M.D.
- Orthopaedic Surgery Physician
- Peterson Afb, CO
National Provider Identifier
1780662999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 37286
- Practice address
- 21 Amds / CC
559 Vincent Street
Peterson Afb, CO 80914-1540 - Phone
- (719) 556-5585
- Fax
- (866) 867-7926
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 37286 | CO | Primary |
| Aerospace Medicine Physician | 2083A0100X | 37286 | CO |
Addresses
Primary practice location
21 Amds / CC
559 Vincent Street
Peterson Afb, CO 80914-1540
Mailing address
21 Amds / CC
559 Vincent Street
Peterson Afb, CO 80914-1540
Phone (719) 556-5585
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37286 | CO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Hospital - Taylor | Past | Accepting new patients | |
| Hillcrest Physician Services | Orthopaedic Surgery | Past | Accepting new patients |
| Midland Orthopedic Specialists Group | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Waco, TX
- NPI 1649294323
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Midland, TX
- NPI 1083849152
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278720000000",
"number": "1780662999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 AMDS / CC",
"address_2": "559 VINCENT STREET",
"city": "PETERSON AFB",
"state": "CO",
"postal_code": "809141540",
"telephone_number": "719-556-5585",
"fax_number": "866-867-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 AMDS / CC",
"address_2": "559 VINCENT STREET",
"city": "PETERSON AFB",
"state": "CO",
"postal_code": "809141540",
"telephone_number": "719-556-5585",
"fax_number": "866-867-7926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ANDREW",
"middle_name": "ERLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2010-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "37286",
"primary": true
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "CO",
"license": "37286",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peterson Afb, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.