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

Individual provider Physician Assistant · NPI 1730153438

Johanna L Moore, PAC is a Physician Assistant in Bryn Mawr, Pennsylvania. Qualified in 1997, 29 years ago. Practices with On Demand Urgent Care Group PC, a 98-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
29
Licensed in
PA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone: (610) 526-3583
Fax: (610) 526-3614
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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 MA002613L (PA)

Record details

NPI number1730153438
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESJune 28, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice On Demand Urgent Care Group Pc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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