Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. GLENN I MOORE MD
NPI 1396735577
Obstetrics & Gynecology - Gynecology in Lexington, KY

Active since October 27, 2005
1720 NICHOLASVILLE RD, SUITE 400, LEXINGTON, KY 40503(859) 278-0363(859) 277-6938 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Glenn I Moore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLENN I MOORE MD (NPI 1396735577) is an individual gynecology provider in Lexington, Kentucky, licensed in Kentucky (15567) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1396735577
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameMR. GLENN I MOORECredential: MD
Location Address1720 NICHOLASVILLE RD, SUITE 400Lexington, KY 40503-1475
Mailing Address1720 Nicholasville Rd, Suite 400Lexington, KY 40503-1475 · (859) 278-0363 · Fax (859) 277-6938
Fax(859) 277-6938
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1396735577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in KY · 15567
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

1720 NICHOLASVILLE RD, Lexington, KY 40503

Other Identifiers 1

Medicaid64155674KY

Accepted Insurance

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Hospice and Palliative Medicine)
1720 NICHOLASVILLE RD, SUITE 703
LEXINGTON, KY 40503
Specialist
1720 NICHOLASVILLE RD, SUITE 502
LEXINGTON, KY 40503
Internal Medicine (Cardiovascular Disease)
1720 NICHOLASVILLE RD, SUITE 601
LEXINGTON, KY 40503
Physician Assistant
1720 NICHOLASVILLE RD, SUTIE 601
LEXINGTON, KY 40503
Physician Assistant
1720 NICHOLASVILLE RD, SUITE 601
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, STE 602
LEXINGTON, KY 40503
Internal Medicine (Hematology & Oncology)
1720 NICHOLASVILLE RD, SUITE 701
LEXINGTON, KY 40503
Nurse Practitioner (Critical Care Medicine)
1720 NICHOLASVILLE RD, STE 602
LEXINGTON, KY 40503
Physician Assistant
1720 NICHOLASVILLE RD, SUITE 601
LEXINGTON, KY 40503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1720 NICHOLASVILLE RD, SUITE 502
LEXINGTON, KY 40503
Audiologist
1720 NICHOLASVILLE RD, SUITE 500
LEXINGTON, KY 40503
Nurse Practitioner
1720 NICHOLASVILLE RD, SUITE 402
LEXINGTON, KY 40503
Internal Medicine (Hematology & Oncology)
1720 NICHOLASVILLE RD, SUITE 701
LEXINGTON, KY 40503
Internal Medicine (Cardiovascular Disease)
1720 NICHOLASVILLE RD, SUITE 601
LEXINGTON, KY 40503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396735577, enumerated as an "individual" on October 27, 2005.

The provider is located at 1720 NICHOLASVILLE RD SUITE 400 LEXINGTON, KY 40503 and the phone number is (859) 278-0363.

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.