THOMAS E. MOOSE RPA-C
NPI 1467415471
Physician Assistant - Medical in Rochester, NY

Active since April 10, 2006
200 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623(585) 461-5330(585) 461-9895 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Thomas E. Moose Rpa-c NPPES

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

THOMAS E. MOOSE RPA-C (NPI 1467415471) is an individual medical provider in Rochester, New York, licensed in New York (006431) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1467415471
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHOMAS E. MOOSECredential: RPA-C
Location Address200 CANAL VIEW BLVD, SUITE 102Rochester, NY 14623-2852
Mailing Address12 Chelsea WayFairport, NY 14450-3215 · (585) 425-3245
Fax(585) 461-9895
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1467415471 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 NY · 006431
200 CANAL VIEW BLVD, Rochester, NY 14623

Other Identifiers 2

Medicare ID-Type UnspecifiedPA0703NY
Medicare UPINP10641NY

Other Providers at the Same Location NPPES 2

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

Ophthalmology
200 CANAL VIEW BLVD, SUITE 102
ROCHESTER, NY 14623
Physician Assistant (Medical)
200 CANAL VIEW BLVD, SUITE 102
ROCHESTER, NY 14623

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 Thomas Moose's NPI number?

The NPI number for Thomas Moose is 1467415471. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Thomas Moose located?

Thomas Moose practices at 200 Canal View Blvd Suite 102, Rochester, NY 14623. The listed phone number is (585) 461-5330.

What is Thomas Moose'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 Thomas Moose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.