Alyssia Moore, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601007869 Issued in MI

Practice address

26657 Woodward Ave Ste 200
Huntington Woods, MI 48070-1304

Phone

(248) 957-7999

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Royal Oak Pediatrics PC

  • Pediatrics Physician
  • Huntington Woods, MI
  • NPI 1629094172
  NPD (past)
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past)
• Warren Urgent Care PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1255513891
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1679029458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26657 WOODWARD AVE STE 200",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701304",
            "telephone_number": "248-398-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26657 WOODWARD AVE STE 200",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701304",
            "telephone_number": "248-957-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALYSSIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Ryan DDS PC
• Sue Marie Michonski, PT
• Mobile Podiatry Services, PC
• Momentum Spine & Sports MGMT
• Moonseed LLC
• Stephanie Morgan-Sterenberg, LMSW, CLINICAL
• Sarah Mountain, PHD, LLMSW
• Mussa Dental PLLC
• Laith George Najar, R-PH
• Michael Neville, LMT

• Medical Physician Assistant in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.