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

Tara L Moore, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1740608884

Tara L Moore, DO is an Obstetrics/Gynecology in Sault Sainte Marie, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2018, 8 years ago. Practices with Mymichigan Medical Center Sault, a 102-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan, Missouri and Virginia.

Years since qualifying
8
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI, MO, VA
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

509 Osborn Blvd Ste 120
Sault Sainte Marie, MI 49783-2071
Phone: (906) 635-3002
Show map & directions

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

Additional practice locations (1)

  • 100 Mercy Way Ste 510, Joplin, MO 64804-4524 — (417) 623-6056

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 5101028043 (MI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 0102205234 (VA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2020020209 (MO)

Record details

NPI number1740608884
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2014
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Mymichigan Medical Center Sault — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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