CAITLIN C MOORE PA-C NPI 1588064869

NPI Information

  • NPI: 1588064869
  • Provider Name: CAITLIN C MOORE, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 1 BARTOL AVE
    SUITE 100
    RIDLEY PARK, PA
    ZIP 19078
  • Phone: (610) 521-8970

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NPI Details

Caitlin C Moore, PA-C is a surgical physician assistant in Ridley Park, PA. Caitlin C Moore, PA-C NPI is 1588064869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 BARTOL AVE
SUITE 100
RIDLEY PARK, PA
ZIP 19078-214
Phone: (610) 521-8970
Fax: (610) 521-3983

The enumeration date for this NPI number is 8/24/2014 and was last updated on 2/8/2017.

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
1363AS0400XPhysician AssistantSurgicalMA057053PENNSYLVANIAYes

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: 11/21/2025

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