SHANNON MOORE
NPI 1174822084
Pediatrics in Erie, PA

Active since March 17, 2011
300 STATE ST, SUITE 301, ERIE, PA 16507(814) 877-7907 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2021, Dec 3, 2015 (2 updates tracked since 2015).

About Shannon Moore NPPES

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

SHANNON MOORE (NPI 1174822084) is an individual pediatrics provider in Erie, Pennsylvania, licensed in Ohio (208000000X) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1174822084
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANNON MOORE
Location Address300 STATE ST, SUITE 301Erie, PA 16507-1427
Mailing Address11279 Perry Hwy, Suite 450Wexford, PA 15090-9381
Sole ProprietorNo
Enumeration DateMarch 17, 2011
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPI 1174822084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OH · 208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

300 STATE ST, Erie, PA 16507

Other Providers at the Same Location NPPES 20

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

Specialist/Technologist (Athletic Trainer)
300 STATE ST, SUITE 106
ERIE, PA 16507
Surgery
300 STATE ST, SUITE 400A
ERIE, PA 16507
Physician Assistant
300 STATE ST, #400A
ERIE, PA 16507
Urology
300 STATE ST, SUITE 301H
ERIE, PA 16507
Nurse Practitioner
300 STATE ST, SUITE 201
ERIE, PA 16507
Optometrist
300 STATE ST, SUITE 202
ERIE, PA 16507
Surgery
300 STATE ST, SUITE 400A
ERIE, PA 16507
Physical Therapist
300 STATE ST, #400A
ERIE, PA 16507

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 Shannon Moore's NPI number?

The NPI number for Shannon Moore is 1174822084. It was assigned to this individual provider in the NPPES registry on March 17, 2011.

Where is Shannon Moore located?

Shannon Moore practices at 300 State St Suite 301, Erie, PA 16507. The listed phone number is (814) 877-7907.

What is Shannon Moore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Shannon Moore was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.