Erin Moore, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

4175 S Alamo Ave
Davis-Monthan Afb, AZ 85707

Phone

(520) 228-2833

NPI assigned

Mar 2, 2018

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)

Not enrolled

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1982106217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE.",
            "city": "DAVIS-MONTHAN AFB",
            "state": "AZ",
            "postal_code": "85707",
            "telephone_number": "520-228-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "city": "DAVIS-MONTHAN AFB",
            "state": "AZ",
            "postal_code": "85707",
            "telephone_number": "520-228-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Lofton, DMD
• Jacob Mack, DMD
• Annetta Rachelle Medaugh, R.N.
• Shane Michael Mikolajewski, PA-C
• Nicholas Miller, DDS
• John Patrick Moran, M.D.
• Nationwide Optometry P.C.
• Katharine Lindsey Neff, DO
• Josephine B. O'Neal, CADC
• Sarah J Ostrom, PA-C

• Medical Physician Assistant in Davis-Monthan Afb, AZ
• Providers in Davis-Monthan Afb, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.