Phoenix N Moore

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

7774100 Issued in PA

Practice address

239 4TH Ave Ste 1818
Pittsburgh, PA 15222-1716

Phone

(412) 407-3729

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Go Phleb, LLC

  • Health Service Clinic/Center
  • Pittsburgh, PA
  • NPI 1689298572
  NPD Authorized official

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1962067736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 4TH AVE STE 1818",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221716",
            "telephone_number": "412-407-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 4TH AVE STE 1818",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221716",
            "telephone_number": "412-407-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PHOENIX",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "PA",
            "license": "7774100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Moore
• Mobolaji Moore, D.D.S.
• Montoia Kenya Moore, RDCS
• Nicole Moore, LPN
• Patrick W Moore
• Robert B Moore, LCSW
• Robert Raymond Moore, D.C.
• Robert Yates Moore, MD
• Shalace N Moore
• Sharon Lynne Moore, CRNP, CS

• Phlebology Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Phlebology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.