Nathan Moore

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36.004134 Issued in OH

Practice address

10553 Saint Clair Ave
Cleveland, OH 44108-1973

Phone

(216) 682-7702

Fax

(216) 920-6273

NPI assigned

Apr 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, PA2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Onsight Health Care, LLCGroup PAC ID 0840338059, 32 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Osh-Oh Physicians Group PC

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1346747946

  Podiatrist

  Medicare reassignment Care Compare group NPD
• Onsight Health Care LLC

  • Optometrist
  • Harrisburg, PA
  • NPI 1508097411
  Medicare reassignment Care Compare group NPD
• Barak Podiatry,LLC

  • Foot & Ankle Surgery Podiatrist
  • Canfield, OH
  • NPI 1053574558
  Medicare reassignment NPD
• Mobile Medical Inc

  • Optometrist
  • Perrysburg, OH
  • NPI 1689620015
  Medicare reassignment NPD
• Mobile Medical, Inc.

  • Dentist
  • Perrysburg, OH
  • NPI 1629228572
  NPD
• Barak Podiatry,LLC

  • Foot & Ankle Surgery Podiatrist
  • Sarasota, FL
  • NPI 1184595530
  NPD
• Onsight Health Care LLC

  • Gerontology Clinical Nurse Specialist
  • Harrisburg, PA
  • NPI 1003122458
  NPD
• Onsight Health Care, LLC

  • Audiologist
  • Beaver, PA
  • NPI 1932330115
  NPD
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)
• Onsight Health Care, LLC

  • Podiatrist
  • Harrisburg, PA
  • NPI 1023249232
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1295314268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12067 APPLETON DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304223",
            "telephone_number": "469-658-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10553 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081973",
            "telephone_number": "216-682-7702",
            "fax_number": "216-920-6273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10688 Lorain Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441115411",
            "country_code": "US",
            "telephone_number": "216-682-7703",
            "fax_number": "216-236-7768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16888 Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441282208",
            "country_code": "US",
            "telephone_number": "216-810-7159",
            "fax_number": "216-920-6286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4235 Tuscarawas St W",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447085424",
            "country_code": "US",
            "telephone_number": "234-203-4232",
            "fax_number": "330-266-4386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445051441",
            "country_code": "US",
            "telephone_number": "330-222-4030",
            "fax_number": "330-230-7498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Arlington St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443063750",
            "country_code": "US",
            "telephone_number": "330-355-7055",
            "fax_number": "330-230-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441051253",
            "country_code": "US",
            "telephone_number": "216-303-7925",
            "fax_number": "216-927-8147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 W 5th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202405",
            "country_code": "US",
            "telephone_number": "330-386-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "59.000886",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.004134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle K Moore
• Mikyla Moore
• Monica Moore
• Monica Marie Moore
• Monique Moore
• Nico Moore, LPC,
• Nina Zobenica Moore, M.D.
• Ollica Moore
• Patricia H Moore, MD
• Paula Moore, RN

• Podiatrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.