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

George C Moore, PA-C

Individual provider Physician Assistant · NPI 1104990654

George C Moore, PA-C is a Physician Assistant in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

701 Park Ave # 08
Minneapolis, MN 55415-1623
Phone: (612) 873-2212
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10165 (MN)

Record details

NPI number1104990654
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 17, 2006
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address701 Park Ave, Minneapolis, MN 55415-1623

Other providers in Minneapolis