Tara L Moore, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5101028043 Issued in MI

Practice address

509 Osborn Blvd Ste 120
Sault Sainte Marie, MI 49783-2071

Phone

(906) 635-3002

NPI assigned

Apr 5, 2014

Last updated

Jul 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Michigan State University College of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mymichigan Medical Center SaultGroup PAC ID 7315936481, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chippewa County War Memorial Hospital Hospital, Sault Ste Marie, MI, CCN 230239

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmoore156726@mymichiganhealth.midirect.net

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.

• Mymichigan Medical Center Sault

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sault Sainte Marie, MI
  • NPI 1639190382
  Medicare reassignment Care Compare group
• Mymichigan Medical Center Sault

  • Anesthesiology Physician
  • Sault Sainte Marie, MI
  • NPI 1457305674
  NPD
• Mymichigan Medical Center Sault

  • Anatomic Pathology & Clinical Pathology Physician
  • Sault Sainte Marie, MI
  • NPI 1518819739
  NPD
• Mymichigan Medical Center Sault

  • Family Medicine Physician
  • Sault Sainte Marie, MI
  • NPI 1699832279

  Obstetrics & Gynecology

  NPD
• Mymichigan Medical Center Sault

  dba Chippewa County War Memorial Hospital, Inc

  • General Acute Care Hospital
  • Sault Sainte Marie, MI
  • NPI 1295756948
  NPD (past)
• Norton Community Physician Services LLC

  • Internal Medicine Physician
  • Norton, VA
  • NPI 1861674160

  Obstetrics & Gynecology

  NPD (past)

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

• Mymichigan Medical Center Sault

  dba Chippewa County War Memorial Hospital, Inc

  • General Acute Care Hospital
  • Sault Sainte Marie, MI
  • NPI 1295756948
  Care Compare affiliation

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

{
    "created_epoch": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1740608884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OSBORN BLVD STE 120",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832071",
            "telephone_number": "906-635-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Mercy Way Ste 510",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044524",
            "country_code": "US",
            "telephone_number": "417-623-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-05",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101028043",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0102205234",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2020020209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cali Pearl Millette, LPC, NCC
• Melanie Minta
• Lily Mitchell
• Fadol Mohamed, MD
• Miranda Kaye Mohr
• Paul Morrison
• Molly Jane Mrozek
• James Muller, L.M.F.T.
• Jessica Murawski
• Faith Tsitsi Muvuti

• Obstetrics & Gynecology Physician in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.