THOMAS E. MOOSE RPA-C NPI 1467415471

NPI Information

NPI: 1467415471
Provider Name: THOMAS E. MOOSE, RPA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
200 CANAL VIEW BLVD
SUITE 102
ROCHESTER, NY
ZIP 14623
Phone: (585) 461-5330
Get Directions

Thomas E. Moose, RPA-C is a medical physician assistant in Rochester, NY. Thomas E. Moose, RPA-C NPI is 1467415471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 CANAL VIEW BLVD
SUITE 102
ROCHESTER, NY
ZIP 14623-852
Phone: (585) 461-5330
Fax: (585) 461-9895

The enumeration date for this NPI number is 4/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	006431	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA0703	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	P10641	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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