Individual provider · Type 1 NPI

Nicholas Jay Moore, MD

Sports Medicine (Family Medicine) Physician · Novi, MI

NPI number 1265727556 Active

Practice location

26850 Providence Pkwy Ste 260
Novi, MI 48374-1256

Fax (248) 465-5141

Other practice locations

  • 1225 S Latson Rd Ste 380, Howell, MI 48843-7643 · (248) 465-5140
  • 28300 Orchard Lake Rd, Suite 200, Farmington Hills, MI 48334-3704 · (248) 539-8630

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X4301108292 (MI)
Sports Medicine (Family Medicine) Physician Primary 207QS0010X4301108292 (MI)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1265727556

Nicholas Jay Moore, MD's National Provider Identifier is 1265727556, issued on Jun 14, 2011. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Novi, MI. The record was last updated on Apr 16, 2019.