MS. PATRICIA LOUISE MOORE MEDICAID PROVIDER
NPI 1356643324
Physician Assistant - Medical in Indianaplis, IN

Q: What is Patricia Moore's NPI number?

The NPI number for Patricia Moore is 1356643324. It was assigned to this individual provider in the NPPES registry on November 24, 2010.

Q: What is Patricia Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patricia Moore was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 24, 2010

1453 S. BANCROFT, INDIANAPLIS, IN 46203(317) 410-7339 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Patricia Louise Moore Medicaid Provider NPPES

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

MS. PATRICIA LOUISE MOORE MEDICAID PROVIDER (NPI 1356643324) is an individual medical provider in Indianaplis, Indiana, licensed in Indiana (200974970A) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1356643324

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. PATRICIA LOUISE MOORECredential: MEDICAID PROVIDER

Location Address1453 S. BANCROFTIndianaplis, IN 46203-3709

Mailing Address3601 Decamp DrIndianapolis, IN 46226-6040 · (317) 410-7339

Phone(317) 410-7339

Sole ProprietorYes

Enumeration DateNovember 24, 2010

Last NPPES UpdateMay 4, 2011

✔ NPI 1356643324 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 IN · 200974970A

1453 S. BANCROFT, Indianaplis, IN 46203

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Other Identifiers 1

Other304563020AIN · Medicare

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 Patricia Moore's NPI number?

The NPI number for Patricia Moore is 1356643324. It was assigned to this individual provider in the NPPES registry on November 24, 2010.

Where is Patricia Moore located?

Patricia Moore practices at 1453 S. Bancroft, Indianaplis, IN 46203. The listed phone number is (317) 410-7339.

What is Patricia 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 Patricia Moore was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.