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ETHAN RICHARD MOORE RN
NPI 1972399624
Student in an Organized Health Care Education/Training Program in Lorain, OH

Active since April 18, 2025
3700 KOLBE RD, LORAIN, OH 44053(440) 960-3054 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Richard Moore Rn NPPES

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

ETHAN RICHARD MOORE RN (NPI 1972399624) is an individual student in an organized health care education/training program in Lorain, Ohio and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1972399624
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN RICHARD MOORECredential: RN
Location Address3700 KOLBE RDLorain, OH 44053-1611
Mailing Address20800 Hawley RdWellington, OH 44090-9411 · (440) 865-5248
Phone(440) 960-3054
Sole ProprietorNo
Enumeration DateApril 18, 2025
Last NPPES UpdateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1972399624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN.494812 (OH)
3700 KOLBE RD, Lorain, OH 44053
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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.

MADISON PALMER
Physical Therapy Assistant
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-4000
MS. SUZANNE R JENKINS PT
Physical Therapist
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-3950
MR. DAVID M ILIANO PA-C
Physician Assistant
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-4624
COURTNEY PEARL ADELMAN PA-C
Physician Assistant (Medical)
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-4000
MS. KATHLEEN A FERGUSON PT
Physical Therapist
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-3950
MS. BARBARA A HENDERSHOT PT
Physical Therapist
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-3950
MERCY HEALTH PHYSICIANS LORAIN, LLC
Family Medicine
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 988-1009
TAYLOR ANDERSON RN
Registered Nurse (General Practice)
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-3054

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 Ethan Moore's NPI number?

The NPI number for Ethan Moore is 1972399624. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Where is Ethan Moore located?

Ethan Moore practices at 3700 Kolbe Rd, Lorain, OH 44053. The listed phone number is (440) 960-3054.

What is Ethan Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Moore was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.