VIRGIL LYTLE MOORE IV PA-C
NPI 1457024713
Physician Assistant in Tacoma, WA

Active since July 31, 2021
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2022, Jul 31, 2021 (2 updates tracked since 2021).

About Virgil Lytle Moore Iv Pa-c NPPES

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

VIRGIL LYTLE MOORE IV PA-C (NPI 1457024713) is an individual physician assistant in Tacoma, Washington and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1457024713
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameVIRGIL LYTLE MOORE IVCredential: PA-C
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001
Sole ProprietorNo
Enumeration DateJuly 31, 2021
Last NPPES UpdateNovember 1, 20222 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
NPI 1457024713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
9040 JACKSON AVE, Tacoma, WA 98431

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.

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

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 Virgil Moore's NPI number?

The NPI number for Virgil Moore is 1457024713. It was assigned to this individual provider in the NPPES registry on July 31, 2021.

Where is Virgil Moore located?

Virgil Moore practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1110.

What is Virgil 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 Virgil Moore was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.