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SCOTT RANDALL MOORE PA-C
NPI 1174613053
Physician Assistant in Apo, AE

Active since October 13, 2006
86 MDG, UNIT 3215, RAMSTEIN AB, APO, AE 09094(314) 479-2609 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, Oct 19, 2017 (2 updates tracked since 2017).

About Scott Randall Moore Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT RANDALL MOORE PA-C (NPI 1174613053) is an individual physician assistant in Apo, AE, licensed in Florida (PA9118238) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174613053
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT RANDALL MOORECredential: PA-C
Location Address86 MDG, UNIT 3215, RAMSTEIN ABApo, AE 09094
Mailing Address86 Mdg, Unit 3215, Ramstein AbApo, AE 09094
Phone(314) 479-2609
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
✔ NPI 1174613053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9118238
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW T WILSON DDS, MD
Dentist (Oral and Maxillofacial Surgery)
86 MDG, UNIT 3215, RAMSTEIN AB
APO, AE 09094
(240) 612-3900
ERNI RUSLIE DNP
Nurse Practitioner (Family)
86 MDG, UNIT 3215, RAMSTEIN AB
APO, AE 09094
(637) 147-9250
DR. DAVID BROCKBANK D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
86 MDG, UNIT 3215, RAMSTEIN AB
APO, AE 09094
(413) 479-2113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Moore's NPI number?

The NPI number for Scott Moore is 1174613053. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Scott Moore located?

Scott Moore practices at 86 Mdg, Unit 3215, Ramstein Ab, Apo, AE 09094. The listed phone number is (314) 479-2609.

What is Scott Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Scott Moore was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.