Johnathan M Moore, PA
Johnathan M Moore, PA is a Physician Assistant in Danielson, Connecticut. Qualified in 2022, 4 years ago. Practices with Day Kimball Medical Group Inc, a 91-clinician group, works from 2 locations and accepts Medicare assignment.
- Years since qualifying
- 4
- In the registry since
- 2021
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
55 Green Hollow RdDanielson, CT 06239-3533
Phone: (860) 779-1865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 900 Washington Rd, West Point, NY 10996-1109 — (845) 938-0482
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1467112250 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 21, 2021 |
| Last updated in NPPES | August 23, 2022 |
| Certification date | August 23, 2022 |
| Mailing address | 325 N James St Apt 2, Peekskill, NY 10566-2486 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Day Kimball Medical Group Inc — 91 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Danielson
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Stephanie Erica Farmer, PA-C
45 Green Hollow Rd, Danielson, CT 06239-3509 · (860) 779-0066