Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710259833 Individual Practitioner Female Practitioner

Amy Marie Moore , PA-C

Physician Assistant • Jbsa Ft Sam Houston, TX

Professional Overview & Biography Verified Profile Summary

Amy Moore, PA-C is a registered healthcare professional specializing in Physician Assistant in Jbsa Ft Sam Houston, TX. Practice services are available at 3551 ROGER BROOKE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3551 Roger Brooke Dr

Jbsa Ft Sam Houston, TX 782344504

Telephone 2109168764
Associated Practice Facility / Clinic
🏢 Saushec Facility NPI 1306258397

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jbsa Ft Sam Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Jbsa Ft Sam Houston, TX (11140 Statewide)

Telehealth Adoption Rate
5.9% 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

CMS Verified: 2020-06-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA11886

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.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License TX PA11886

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Practice Locations

1650 Cochrane Bld 7500, Usa Meddac, Evans Ach

Ft. Carson, CO 80913

Phone: 2102477072

2981 Garden Ave

Jbsa Ft Sam Houston, TX 782347635

Phone: 2105565147

Practice Associates & Co-Workers

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

4 Associated Practitioners
John Mcfall

Physician Assistant

NPI 1033517941
NPI 1194953117

Doctor of Osteopathic Medicine (D.O.)

Nicole Lopez , PA

Physician Assistant - Medical

NPI 1669628111

Physician Assistant

Kerri Van Arnem , PA

Physician Assistant

NPI 1790946424

Physician Assistant

Career & Practice History Timeline

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

17 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2020

Military Health Care Provider

📍
Updated Practice Location May 07, 2018

Registered at 3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2109168764)

📍
Updated Business Mailing Address May 07, 2018

Registered at 3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 782344504

👤
Provider Name / Credentials Updated May 07, 2018

Recorded as AMY MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2018

Physician Assistant (License #PA11886 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Military Health Care Provider

NPI Profile Active December 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2017

Registered at 2981 GARDEN AVE, JBSA FT SAM HOUSTON, TX 782347635 (Tel: 2105565147)

📍
Updated Business Mailing Address December 17, 2017

Registered at 30117 CIBOLO OAKS, BOERNE, TX 780154326

👤
Provider Name / Credentials Updated December 17, 2017

Recorded as AMY MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2017

Physician Assistant

NPI Profile Active July 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2014

Registered at 1650 COCHRANE BLD 7500, USA MEDDAC, EVANS ACH, FT. CARSON, CO 80913 (Tel: 2102477072)

📍
Updated Business Mailing Address July 02, 2014

Registered at PSC 3 BOX 1053, APO, AE 090210011 (Tel: 2102477072)

👤
Provider Name / Credentials Updated July 02, 2014

Recorded as AMY MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2014

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 06, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710259833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2012
Last Update: June 11, 2020
Sole Proprietor: No

Mailing Address

3551 Roger Brooke Dr

Jbsa Ft Sam Houston, TX 782344504

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.