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

Dr. Eric T Moore, MD

Individual provider Emergency Medicine Physician · NPI 1417156142

Dr. Eric T Moore, MD is an Emergency Medicine in Summit, Wisconsin. Graduated from Medical College of Wisconsin in 2007, 19 years ago. Practices with Mile Bluff Medical Center Inc, a 83-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine and Wisconsin.

Years since qualifying
19
Trained at
Medical College of Wisconsin
Licensed in
ME, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

36500 Aurora Dr
Summit, WI 53066-4899
Phone: (262) 434-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1836 South Ave, La Crosse, WI 54601-5429 — (608) 782-7300

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 60232 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 018291 (ME)

Record details

NPI number1417156142
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2007 (19 years in practice)
Group practice Mile Bluff Medical Center Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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