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

Individual provider Physician Assistant · NPI 1356810303

Jordan Marie Moore, PA-C is a Physician Assistant in Cleveland, Ohio. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2018, 8 years ago. Practices with Adirondack Medical Center, a 85-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
OH
In the registry since
2018
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

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone: (216) 844-2273
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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 50.005794RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence LE-00026012 (OH)

Record details

NPI number1356810303
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 20, 2018
Last updated in NPPESNovember 20, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2018 (8 years in practice)
Group practice Adirondack Medical Center — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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