Individual provider · Type 1 NPI

Johnathan M. Moore, PA

Physician Assistant · Danielson, CT

NPI number 1467112250 Active

Practice location

55 Green Hollow Rd
Danielson, CT 06239-3533

Mailing address

325 N James St Apt 2
Peekskill, NY 10566-2486

Other practice locations

  • 900 Washington Rd, West Point, NY 10996-1109 · (845) 938-0482

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1467112250

Johnathan M. Moore, PA's National Provider Identifier is 1467112250, issued on Dec 21, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Danielson, CT. The record was last updated on Aug 23, 2022.