1669416590 NPI number — DR. DANIEL HOOD MOORE MD

Table of content: (NPI 1235173451)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669416590 NPI number — DR. DANIEL HOOD MOORE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOORE
Provider First Name:
DANIEL
Provider Middle Name:
HOOD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669416590
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
651 COLLIERS WAY
Provider Second Line Business Mailing Address:
ALL ABOUT WOMEN HEALTH ASSOCIATES
Provider Business Mailing Address City Name:
WEIRTON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26062
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-723-4700
Provider Business Mailing Address Fax Number:
252-338-6712

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
651 COLLIERS WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEIRTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-723-4700
Provider Business Practice Location Address Fax Number:
252-338-6712
Provider Enumeration Date:
06/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  200100170 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 383682761 . This is a "AETNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1289X . This is a "BC/BS NC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 891289X , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10016753 . This is a "OPTIMA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3075017 . This is a "CIGNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: D0307 . This is a "MEDCOST PREFERRED" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2111201 . This is a "ALLIANCE PPO & MAMSI" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2111201 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2111201 . This is a "ONE NET" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 383682761 . This is a "TRICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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