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

Seth Moore, PA-C

Individual provider Medical Physician Assistant · NPI 1609764729

Seth Moore, PA-C is a Physician Assistant in Marion, Indiana. Qualified in 2025, 1 year ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
Specialties on file
2
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

330 N Wabash Ave Ste 110
Marion, IN 46952-2677
Phone: (765) 664-1201
Show map & directions

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

Additional practice locations (1)

  • 6308 Woodchuck Dr, Pendleton, IN 46064-9076 — (765) 617-8665

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10005011A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1609764729
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 26, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address6308 Woodchuck Dr, Pendleton, IN 46064-9076

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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