Andrew Moore, - Obstetrics & Gynecology in Provo, UT

Andrew Moore, is a Obstetrics & Gynecology - Reproductive Endocrinology physician based in Provo, Utah. Andrew Moore is licensed to practice in Utah (license number 8198024-1205) and his current practice location is 1900 N State St Ste 105, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 655-5245.

NPI number for Andrew Moore is 1386866572 and his current mailing address is 1900 N State St Ste 105, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386866572.

Contact Information

Andrew Moore,
1900 N State St Ste 105,
Provo, UT 84604-1354
(801) 655-5245
Not Available

Map and Direction




Physician's Profile

Full NameAndrew Moore
GenderMale
SpecialityObstetrics & Gynecology - Reproductive Endocrinology
Location1900 N State St Ste 105, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386866572
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 02/23/2022

Medical Identifiers

Medical identifiers for Andrew Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386866572NPI-NPPES
0722557OtherKYMEDICARE - FOUNDATION
3726872000OtherKYPASSPORT ADVANTAGE PCP
000000610833OtherKYANTHEM
3726871000OtherKYPASSPORT ADVANTAGE SPECIALITY
9328408OtherKYAETNA
3726875000OtherKYPASSPORT ADVANTAGE
7100074130MedicaidKY
50024901OtherKYPASSPORT SPECIALTY
50024902OtherKYPASSPORT PCP
000000610836OtherKYANTHEM
50024905OtherKYPASSPORT SPECIALITY
200947330MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VE0102XObstetrics & Gynecology - Reproductive Endocrinology 8198024-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrew Moore,
1900 N State St Ste 105,
Provo, UT 84604-1354

Ph: (801) 655-5245
Andrew Moore,
1900 N State St Ste 105,
Provo, UT 84604-1354

Ph: (801) 655-5245

Reviews and Comments


Obstetrics & Gynecology Doctors in Provo, UT

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Peter Gilson Drewes, M.D.
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Dr. Brian L Wolsey, M.D.
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Sandra V Archer, MD
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Phone: 801-357-7377    Fax: 801-357-7377
Dr. Julie Glenn Grover, MD, PC
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Medicare: Medicare Enrolled
Practice Location: 1055 N 300 W Ste 108, Provo, UT 84604
Phone: 801-357-7377    Fax: 801-357-7378

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