Active NPI
Michelle J. Moyer, P.A.-C.
- Physician Assistant
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50001037
- Practice address
- 410 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (614) 947-3700
- NPI assigned
- Jul 26, 2006
- Last updated
- May 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50001037 | OH | Primary |
Addresses
Primary practice location
410 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
700 Ackerman Rd
Suite 570
Columbus, OH 43202-1559
Phone (614) 293-2046
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50001037 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Market Street Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
| Emergency Services of Central Ohio LLC | Past | Accepting new patients | |
| Emergency Professionals of Ohio, Inc. | Physician Assistant | Past | Accepting new patients |
Locations
1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300
3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226
44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
4110 Warrensville Center Rd
Warrensvl Hts, OH 44122
Phone (216) 491-6552
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Emergency Medicine Physician
- Akron, OH
- NPI 1265471148
-
dba Emergency Professional Services of Ohio, Inc.
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1124501861
-
- Family Medicine Physician
- Avon, OH
- NPI 1184428336
-
- Nurse Practitioner
- Athens, OH
- NPI 1750313854
Physician Assistant
-
- Emergency Medicine Physician
- Barberton, OH
- NPI 1427322726
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1326462235
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1740203074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD",
"address_2": "SUITE 570",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-947-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "MICHELLE",
"middle_name": "J.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50001037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.