STEPHANIE MOORE (NPI# 1053717165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053717165 |
| Entity Type | Individual |
| Full Name | STEPHANIE MOORE |
| Credential | PA-C |
| Practice Address |
2861 W 26th St Erie PA 16506-3064 |
| Practice Telephone | 8148356695 |
| Mailing Telephone | 8148356695 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299265 | Stephanie Angela Moore | Nurse Practitioner | 10850 Navajo Dr, New Port Richey, FL 34654-5233 | 2020-06-10 |
| 1174143432 | Stephanie Moore | Behavior Technician | 3205 N Dustin Ave, Farmington, NM 87401-9229 | 2020-04-16 |
| 1386113421 | Stephanie Jade Moore | Counselor | 1104 Vine Street, Batesville, AR 72501-8638 | 2018-11-19 |
| 1609371285 | Stephanie Michelle Moore | Physical Therapy Assistant | 11618 Us Hwy 70 W Ste 100, Clayton, NC 27520-2276 | 2018-03-27 |
| 1134639891 | Stephanie Moore | Counselor | 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 | 2017-10-09 |
| 1851711337 | Stephanie Moore | Health Educator | 2438 Laconia Avenue, Bronx, NY 10469 | 2014-04-23 |
| 1467752584 | Stephanie K Moore | Social Worker | 308 Indigo Drive, Cary, NC 27513-3322 | 2010-10-22 |
| 1275789448 | Stephanie Strong Moore | Dentist | 2025 Glennfield Lane, Augusta, GA 30909 | 2008-08-07 |
| 1376676585 | Stephanie Moore | Behavioral Analyst | 3904 Seasons Pt, Evansville, IN 47715-1389 | 2007-03-14 |
| 1740261486 | Stephanie A Moore | Internal Medicine | 55 Fruit St # 800, Department of Cardiovascular Medicine, Boston, MA 02114-2621 | 2005-11-09 |
| Street Address |
2861 W 26TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16506-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053380071 | Melodie F Miller-chludzinski | Family Medicine | 2861 W 26th St, Erie, PA 16506-3064 | 2006-03-14 |
| 1942814108 | Cassandra Lynn Shaffer | Nurse Practitioner | 2861 W 26th St, Erie, PA 16506-3064 | 2020-09-04 |
| 1104446285 | Kenzie M Delp | Nurse Practitioner | 2861 W 26th St, Erie, PA 16506-3064 | 2020-04-20 |
| 1467941849 | Rachael Marie Kosar | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2018-05-01 |
| 1336699438 | Emily Dahlstrand | Physician Assistant | 2861 W 26th St, Erie, PA 16506 | 2016-10-12 |
| 1588028054 | Lindsay M Paterniti | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2016-04-11 |
| 1528489119 | Epn Hamot Urgent Care Centers LLC | Emergency Medicine | 2861 W 26th St, Erie, PA 16506-3064 | 2013-12-27 |
| 1891125662 | Emmylu Abbie Johnson | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2013-11-15 |
| 1548699218 | Ryan Drabina | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2013-11-04 |
| 1003251620 | Matthew S Heitzenrater | Family Medicine | 2861 W 26th St, Erie, PA 16506-3064 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496872 | Maureen Grady | Physician Assistant | 240 West 11th Street, Suite 2, Erie, PA 16501 | 2019-09-17 |
| 1174920193 | Shelly A. Respecki | Physician Assistant | 120 E Second St 3rd Floor, Erie, PA 16507-1578 | 2014-11-20 |
| 1801105127 | Diane Marie Corey | Physician Assistant | 2620 Sigsbee St, Erie, PA 16508-1721 | 2010-10-04 |
| 1124124318 | Tamara J. Murphy | Physician Assistant | 100 Peach Street, Suite 200, Bayfront Digestive Disease, Erie, PA 16507-1423 | 2006-09-15 |
| 1508472622 | Liam Cunningham | Physician Assistant | 2374 Village Common Dr Ste 100, Erie, PA 16506-7201 | 2020-09-23 |
| 1679181093 | Micaela M Lippert | Physician Assistant | 333 State St Ste 104, Erie, PA 16507-1463 | 2020-07-22 |
| 1255971222 | Emina Vakufac | Physician Assistant | 2202 W 15th St, Erie, PA 16505-4510 | 2020-01-08 |
| 1679118269 | Alexandra Marie Hartman | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2019-11-07 |
| 1982254173 | Erin Elizabeth Lipnicky | Physician Assistant | 118 E 2nd St, Erie, PA 16507-1502 | 2019-09-19 |
| 1841756483 | Justine M Koehler | Physician Assistant | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2019-02-19 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.