Dr. Patricia A Moore
Dr. Patricia A Moore is a Podiatry in South Bend, Indiana. Graduated from Kent State University College of Podiatric Medicine in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana and Michigan.
- Years since qualifying
- 44
- Trained at
- Kent State University College of Podiatric Medicine
- Licensed in
- IN, MI
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
52303 Emmons Rd Ste A7South Bend, IN 46637-4293
Phone: (574) 277-5390
Fax: (574) 277-6340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 07000521A (IN) |
|---|---|
| Podiatrist | Taxonomy 213E00000X · Licence 5901001129 (MI) |
Record details
| NPI number | 1144229246 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 20, 2005 |
| Last updated in NPPES | December 15, 2017 |
| Mailing address | 52303 Emmons Rd, Ste A7, South Bend, IN 46637-4293 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE |
| Graduated | 1982 (44 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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