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

Individual provider Medical Physician Assistant · NPI 1023821915

Gaven Andrew Moore, PA-C is a Physician Assistant in Bloomington, Indiana. Qualified in 2025, 1 year ago. Practices with Indiana University Health Southern Indiana Physicians LLC, a 484-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
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

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone: (812) 334-5081
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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 10004916A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10004916A (IN)

Record details

NPI number1023821915
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Indiana University Health Southern Indiana Physicians Llc — 484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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