Andy Moore · Family Medicine Physician

502 W Broad St Ste 2, Falls Church, VA 22046-3206

Overview

Andy Moore is a Family Medicine Physician practicing in Falls Church, Virginia. The National Provider Identifier (NPI) is #1487016051, which was assigned on March 23, 2016, and the registration record was last updated on January 22, 2025. The practitioner's main practice location is at 502 W Broad St Ste 2, Falls Church, VA 22046-3206; the contact telephone number is 5714218431. The primary taxonomy of Andy Moore is Family Medicine Physician (207Q00000X). Andy Moore is licensed to practice in the state of Virginia (#0101272220).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Information

NPI 1487016051
Entity Type Individual
Provider Name DR. ANDY MOORE
Gender Male
Credential M.D.
Practice Address 502 W Broad St Ste 2
Falls Church
VA 22046-3206
Practice Telephone 5714218431
Mailing Address 5000 Cox Rd
Glen Allen
VA 23060-9263
Mailing Telephone 8049685700
Certification Date 2025-01-22
Enumeration Date 2016-03-23
Last Update Date 2025-01-22
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 6305182411
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name ANDY MOORE
Primary Specialty FAMILY PRACTICE
Organization Legal Name KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
Address 13285 Minnieville Rd
Woodbridge
VA 22192-4018

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207Q00000XFamily Medicine0101272220VA

Secondary Practice Locations

AddressTelephoneFax
9715 Liberia Ave, Manassas, VA 2011058375712291797

Taxonomy Information

Primary Taxonomy

Code 207Q00000X
Taxonomy Family Medicine Physician
Classification Family Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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Location Information

Street Address 502 W BROAD ST STE 2
City FALLS CHURCH
State VA
Zip Code 22046-3206
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Kathleen Varnes 502 W Broad St Ste 2, Falls Church, VA 22046-3206Emergency Medicine Physician2006-09-17
Noah Isadore Wallace 502 W Broad St Ste 2, Falls Church, VA 22046-3206Family Medicine Physician2015-06-25

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Leslie Morales 700 W Broad St, Falls Church, VA 22046-3219Occupational Therapist2022-02-08
Daniel Young Ho Leigh 1212 W Broad St, Falls Church, VA 22046-2116Periodontist2021-06-04
Veronica Petersen 803 W Broad St Ste 100, Falls Church, VA 22046-3131Speech-Language Pathologist2025-06-20
Horizon Home Health Va LLC 701 W Broad St Ste 207, Falls Church, VA 22046-3220Home Health Agency2025-03-14
Margaret Louise Veatch 210 E Fairfax St Apt 324, Falls Church, VA 22046-2907Psychologist2006-10-19
Mind Stability LLC 1104 W Broad St # 1015, Falls Church, VA 22046-2114Psychiatric/Mental Health Nurse Practitioner2024-10-17
Sirac Arturo Cardoza 502 W Broad St, Falls Church, VA 22046-3204Family Medicine Physician2016-06-13
Daria Jaclyn Zahalsky 803 W Broad St Ste 100, Falls Church, VA 22046-3131Pediatric Occupational Therapist2025-03-05
Mary Ryan Dufour 803 W Broad St Ste 100, Falls Church, VA 22046-3131Physical Therapist2025-04-07
Andy Le 150 S Washington St Ste 301, Falls Church, VA 22046-2921Chiropractor2025-02-20
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.