Individual provider Active NPI

Michael R Moyer, PA

  • Medical Physician Assistant
  • Beachwood, OH
National Provider Identifier
1306810254
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50000722 Issued in OH
Practice address
26500 Amhearst Cir
Apt. 304
Beachwood, OH 44122-8502
Phone
(440) 488-6440
Fax
(440) 951-3531
NPI assigned
Feb 16, 2006
Last updated
May 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50000722 OH Primary

Addresses

Primary practice location

26500 Amhearst Cir
Apt. 304
Beachwood, OH 44122-8502

Mailing address

26500 Amhearst Cir
Apt. 304
Beachwood, OH 44122-8502
Phone (440) 488-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000538 OH Practitioner - Physician Assistant 4981665734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

12300 McCracken Rd
Garfield Heights, OH 44125-2914

1730 W 25TH St
Cleveland, OH 44113-3108

20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-7396

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50000722OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince May 22, 2012 Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 22, 2012 Accepting new patients
Lake Emergency Services Inc Past Accepting new patients
Fatima M Pozuelo MD Inc Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

6803 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 442-4452

34500 Chardon Rd
Willoughby Hills, OH 44094
Phone (440) 386-4200

34500 Chardon Rd
Ste 6
Willoughby Hills, OH 44094
Phone (440) 386-2009

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1306810254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 AMHEARST CIR",
            "address_2": "APT. 304",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441228502",
            "telephone_number": "440-488-6440",
            "fax_number": "440-951-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26500 AMHEARST CIR",
            "address_2": "APT. 304",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441228502",
            "telephone_number": "440-488-6440",
            "fax_number": "440-951-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50000722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.