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

Mr. Matthew Henry Moore, PA-C

Individual provider Physician Assistant · NPI 1700053394

Mr. Matthew Henry Moore, PA-C is a Physician Assistant in Miami, Oklahoma. Qualified in 2007, 19 years ago. Practices with Northeastern Tribal Health System, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
19
Licensed in
OK
In the registry since
2008
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

111 S Treaty Rd
Miami, OK 74354
Phone: (918) 540-1511
Fax: (918) 542-7374
Show map & directions

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

Additional practice locations (1)

  • 21 W Central Ave, Miami, OK 74354-6815 — (918) 542-3900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1732 (OK)

Record details

NPI number1700053394
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 13, 2008
Last updated in NPPESJanuary 7, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Northeastern Tribal Health System — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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