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MR. MICHAEL ALLEN MOORE PA-C
NPI 1225039837
Physician Assistant - Medical in Comstock Park, MI

Active since August 04, 2005
4200 DIVISION AVE N, COMSTOCK PARK, MI 49321(616) 252-1600(616) 252-1666 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Allen Moore Pa-c NPPES

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

MR. MICHAEL ALLEN MOORE PA-C (NPI 1225039837) is an individual medical provider in Comstock Park, Michigan, licensed in Michigan (5601002580) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1225039837
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL ALLEN MOORECredential: PA-C
Location Address4200 DIVISION AVE NComstock Park, MI 49321-9546
Mailing Address1925 Breton Rd Se, Suite 201Grand Rapids, MI 49506-4810 · (616) 252-1600 · Fax (616) 252-1666
Phone(616) 252-1600
Fax(616) 252-1666
Sole ProprietorNo
Enumeration DateAugust 4, 2005
Last NPPES UpdateMay 9, 2012
✔ NPI 1225039837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601002580
4200 DIVISION AVE N, Comstock Park, MI 49321
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Other Providers at the Same Location NPPES 7

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

MATTHEW C RICHARDS PA-C
Physician Assistant
4200 DIVISION AVE N
COMSTOCK PARK, MI 49321
Kent County (616) 252-5160
ELIZABETH HOLT PT
Physical Therapist
4200 DIVISION AVE N
COMSTOCK PARK, MI 49321
Kent County (616) 252-1630
DANIEL K KOSCHTIAL DPM
Podiatrist (Primary Podiatric Medicine)
4200 DIVISION AVE N
COMSTOCK PARK, MI 49321
Kent County (616) 252-3000
REBECCA JOY PAIGE-GUERRA P.A.
Physician Assistant
4200 DIVISION AVE N
COMSTOCK PARK, MI 49321
Kent County (616) 252-1600
GARY N SACKETT M.D.
Family Medicine
4200 DIVISION AVE N
COMSTOCK PARK, MI 49321
Kent County (616) 252-1600
MARGARET NORMANDIN PA-C
Physician Assistant
4200 DIVISION AVE N
COMSTOCK PARK, MI 49321
Kent County (616) 252-1600
JANICE K WABEKE D.O.
Family Medicine
4200 DIVISION AVE N
COMSTOCK PARK, MI 49321
Kent County (616) 252-1600

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 Michael Moore's NPI number?

The NPI number for Michael Moore is 1225039837. It was assigned to this individual provider in the NPPES registry on August 4, 2005.

Where is Michael Moore located?

Michael Moore practices at 4200 Division Ave N, Comstock Park, MI 49321. The listed phone number is (616) 252-1600.

What is Michael Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michael Moore was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.