MADISON ALEXIS MOORE PA-C NPI 1902432644

NPI Information

  • NPI: 1902432644
  • Provider Name: MADISON ALEXIS MOORE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 36701 AMERICAN WAY STE 3
    AVON, OH
    ZIP 44011
  • Phone: (440) 937-4951

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NPI Details

Madison Alexis Moore, PA-C is a medical physician assistant in Avon, OH. Madison Alexis Moore, PA-C NPI is 1902432644. 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:

36701 AMERICAN WAY STE 3
AVON, OH
ZIP 44011-064
Phone: (440) 937-4951

The enumeration date for this NPI number is 3/13/2020 and was last updated on 4/20/2023.

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
1363AM0700XPhysician AssistantMedical50.007933RXOHIOYes

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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