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Phoenix N. Moore

NPI 1962067736ActiveIndividual· Phlebology· Pittsburgh, PA

Phlebology in Pittsburgh, Pennsylvania, licensed in PA, with an NPI issued in May 2019.

Overview

NPI1962067736
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMay 7, 2019
Last updated in NPPESJun 5, 2020
Certified by providerJun 5, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Phlebology Primary202K00000X7774100PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years