Individual provider · Type 1 NPI

Christopher W. Moore, PA

Physician Assistant · Fort Wayne, IN

NPI number 1366462905 Active

Practice location

11109 Parkview Plaza Dr Ste 2121
Fort Wayne, IN 46845-1701

Call (260) 482-4440 Map

Fax (260) 482-4442

Mailing address

608 Union Chapel Rd
Fort Wayne, IN 46845-9357

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10000647A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366462905

Christopher W. Moore, PA's National Provider Identifier is 1366462905, issued on Jul 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 25, 2026.