Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher W Moore, PA

Individual provider Physician Assistant · NPI 1366462905

Christopher W Moore, PA is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2003, 23 years ago. Practices with Marion General Hospital, a 117-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
23
Licensed in
IN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11109 Parkview Plaza Dr Ste 2121
Fort Wayne, IN 46845-1701
Phone: (260) 482-4440
Fax: (260) 482-4442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000647A (IN)

Record details

NPI number1366462905
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address608 Union Chapel Rd, Fort Wayne, IN 46845-9357

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Marion General Hospital — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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