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

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