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

Dr. Andrew William James Moore, DO

Individual provider Family Medicine Physician · NPI 1275224065

Dr. Andrew William James Moore, DO is a Family Practice in Roseville, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2023, 3 years ago. Licensed in Michigan.

Years since qualifying
3
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

18325 E 10 Mile Rd
Roseville, MI 48066-4990
Phone: (586) 447-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101029451 (MI)

Record details

NPI number1275224065
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address18325 E 10 Mile Rd, Roseville, MI 48066-4990

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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