Cheryl Moore, D.O.

Individual provider Active NPI Emergency Medicine Physician · Warren, PA

NPI 1710976006 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1710976006
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
OS008102L (PA)
Practice address
2 W Crescent Park
Warren, PA 16365-2111
Phone
(814) 723-3300
Fax
(814) 723-8515
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 14

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.

Hospital & facility affiliations 9

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

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Department of Human Services (34 clinicians)

Practice addresses (Care Compare)

33 Main Dr
North Warren, PA 16365-5001
Phone (814) 723-5500

Hospital & facility affiliations

  • Lecom Medical Center and Behavioral Health Pav Hospital · Erie, PA · CCN 390198

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100 (group)
Quality
78.36
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070724000149 PA Practitioner - Emergency Medicine
Practitioner - Family Practice
5395846174 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2391WVMDPharmacist
OS008102LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Current Accepting new patients
Millcreek Community Hospital Current
since Apr 19, 2010
Accepting new patients
Millcreek Community Hospital Current
since Apr 19, 2010
Accepting new patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine Current
since Nov 10, 2022
Accepting new patients

Locations

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS008102L PA Yes

Addresses

Primary practice location

2 W Crescent Park
Warren, PA 16365-2111

Mailing address

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-3300

Other providers in Warren, PA

All providers in Warren, PA · Emergency Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.