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

Tia Moore

Individual provider Nurse Practitioner · NPI 1033083753

Tia Moore is a Nurse Practitioner in Columbus, Ohio. Qualified in 2025, 1 year ago. Practices with Central Ohio Wound Ostomy Services LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025

Practice location Address checks out

6100 E Main St Ste 110
Columbus, OH 43213-3399
Phone: (614) 861-1120
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0040480 (OH)

Record details

NPI number1033083753
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2025
Last updated in NPPESOctober 4, 2025
Certification dateOctober 4, 2025
Mailing address10535 Tollgate Rd Sw, Etna, OH 43062-8324

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Central Ohio Wound Ostomy Services Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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