Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa K Moore, PA-C

Individual provider Physician Assistant · NPI 1114671765

Alyssa K Moore, PA-C is a Physician Assistant in Montgomery, Ohio. Qualified in 2021, 5 years ago. Practices with Trihealth H LLC, a 848-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone: (513) 865-5552
Fax: (513) 865-2227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 375 Dixmyth Ave, Cincinnati, OH 45220-2475 — (513) 865-2246

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007057RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50.0007057 (OH)

Record details

NPI number1114671765
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 11, 2022
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022
Mailing address9166 Porter Rd, Ryland Hght, KY 41015-9587

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Trihealth H Llc — 848 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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