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

Matthew James Moore, PA-C

Individual provider Physician Assistant · NPI 1225434525

Matthew James Moore, PA-C is a Physician Assistant in Ann Arbor, Michigan. Qualified in 2015, 11 years ago. Practices with St Joseph Mercy Hospital, a 68-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Michigan.

Years since qualifying
11
Licensed in
CT, MI
In the registry since
2014
Specialties on file
4
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 →

Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
Show map & directions

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

Additional practice locations (1)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-1994

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008931 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 003243 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 003243 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 003243 (CT)

Record details

NPI number1225434525
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 13, 2014
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Joseph Mercy Hospital — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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