Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TATUM MARIE MOOG
NPI 1366225161
Physician Assistant - Medical in Plano, TX

Q: What is Tatum Moog's NPI number?

The NPI number for Tatum Moog is 1366225161. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Q: What is Tatum Moog'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 Tatum Moog was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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 August 15, 2023

4001 W 15TH ST STE 445, PLANO, TX 75093(972) 599-2567 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 27, 2026, Aug 15, 2026, Jul 20, 2026 and 1 more (4 updates tracked since 2023).

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About Tatum Marie Moog NPPES

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

TATUM MARIE MOOG (NPI 1366225161) is an individual medical provider in Plano, Texas, licensed in (PA19566) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1366225161

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameTATUM MARIE MOOG

Location Address4001 W 15TH ST STE 445Plano, TX 75093-5845

Mailing Address4001 W 15th St Ste 445Plano, TX 75093-5845 · (972) 599-2567

Phone(972) 599-2567

Sole ProprietorNo

Enumeration DateAugust 15, 2023

Last NPPES UpdateAugust 27, 20264 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1366225161 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 · PA19566

4001 W 15TH ST STE 445, Plano, TX 75093

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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 Tatum Moog's NPI number?

The NPI number for Tatum Moog is 1366225161. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Tatum Moog located?

Tatum Moog practices at 4001 W 15th St Ste 445, Plano, TX 75093. The listed phone number is (972) 599-2567.

What is Tatum Moog'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 Tatum Moog was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.