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Active NPI 1285776534 Individual Practitioner Male Practitioner

Charles Rodney Moore , PA

Physician Assistant • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Charles Moore, PA is a registered healthcare professional specializing in Physician Assistant in Ann Arbor, MI. Practice services are available at 1500 EAST MEDICAL CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 East Medical Center Dr
2nd Floor Taubman Ctr Recp F

Ann Arbor, MI 481090332

Telephone 7349365738
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
613 Specialists

Practicing in Ann Arbor, MI (7057 Statewide)

Telehealth Adoption Rate
20.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601001292

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2656213 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Aubrey Boucher , PA-C

Physician Assistant

NPI 1003230871

Physician Assistant (Certified)

Dr. Keerthi Burgi , MD

Student in an Organized Health Care Education/Training Program

NPI 1003758947

Doctor of Medicine (M.D.)

Izhar Mbarani

Student in an Organized Health Care Education/Training Program

NPI 1043957772
NPI 1043958762

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Scott Levy

Surgery

NPI 1053055954
Dr. Phillip Hsu , MD, PhD

Student in an Organized Health Care Education/Training Program

NPI 1063090793

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP F, ANN ARBOR, MI 481090332 (Tel: 7349365738)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #5601001292 in MI)

🟢
Initial NPI Registration & Enumeration February 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285776534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3621 S State St, 700 Kms Place

Ann Arbor, MI 48108

Phone: 7349362047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.