Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Olivia Moore

Individual provider Anesthesiology Physician · NPI 1538782628

Olivia Moore is an Anesthesiology in Wichita, Kansas. Qualified in 2020, 6 years ago. Practices with Stillwater Medical Center Authority, a 168-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
6
Licensed in
KS
In the registry since
2020
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Practice location Address checks out

1010 N Kansas St Ste 3023
Wichita, KS 67214-3124
Phone: (316) 293-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 94-10264 (KS)

Record details

NPI number1538782628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020
Mailing address1010 N Kansas St Ste 3023, Wichita, KS 67214-3124

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Stillwater Medical Center Authority — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita