Amira L Moore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA057437 Issued in PA

Practice address

717 Town Center Drive
York, PA 17408-4824

Phone

(717) 356-4240

Fax

(717) 356-4241

NPI assigned

Feb 19, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amoore108727@direct.mdmercy.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medstar Urgent Care LLC

  • General Practice Physician
  • Lexington Park, MD
  • NPI 1275410474
  NPD
• Medstar Urgent Care LLC

  • Urgent Care Clinic/Center
  • Baltimore, MD
  • NPI 1942623319
  NPD
• Medstar Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Wheaton, MD
  • NPI 1871843409
  NPD
• Saint Paul Place Specialists, Inc.

  • Surgical Oncology Physician
  • Baltimore, MD
  • NPI 1336195650
  NPD
• St Paul Place Specialists Inc

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1497707681
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1184016792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 E BARRINGER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 TOWN CENTER DRIVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174084824",
            "telephone_number": "717-356-4240",
            "fax_number": "717-356-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Baltimore St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173318698",
            "country_code": "US",
            "telephone_number": "215-964-7275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Brunswick Dr Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173318350",
            "country_code": "US",
            "telephone_number": "717-637-0470",
            "fax_number": "717-637-4987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMIRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003483",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103185850",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184016792",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoore86346@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2201 Brunswick Dr Ste 1200",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173318350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John S. Monk Jr., M.D.
• Katelyn Montanez, LSW
• Patrick H Montgomery, OTR/L
• Melissa Ann Mook, RPH
• Amber Lynn Moore, CRNP
• David Hutchinson Moore, M.D.
• Doris Ann Moore
• Elliot Giulio Moore, MD
• Julia Moore
• Gita Moorthy

• Physician Assistant in York, PA
• Providers in York, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.