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Active NPI 1457024713 Individual Practitioner Male Practitioner

Virgil Lytle Moore , PA-C

Physician Assistant • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Virgil Moore, PA-C is a registered healthcare professional specializing in Physician Assistant in Tacoma, WA. Practice services are available at 9040 JACKSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9040 Jackson Ave

Tacoma, WA 984310001

Telephone 2539681110
Associated Practice Facility / Clinic
🏢 Defense Finance & Actg Serv Facility NPI 1992784144

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
328 Specialists

Practicing in Tacoma, WA (3774 Statewide)

Telehealth Adoption Rate
9.1% 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: 2022-11-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kenny Le , MD

Anesthesiology

NPI 1003351842

Doctor of Medicine (M.D.)

Elizabeth Pulatie , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003913484

Certified Registered Nurse Anesthetist

Jesse Lopata , RN

Registered Nurse

NPI 1013373257

Registered Nurse

Tiffany Cavin , LPN

Licensed Practical Nurse

NPI 1013374313

Licensed Practical Nurse

Elideth O'dell

Social Worker - Clinical

NPI 1013407436
Dr. Travon Johnson , PsyD

Psychologist - Clinical

NPI 1013541192

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated November 01, 2022

Recorded as VIRGIL MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2022

Physician Assistant

NPI Profile Active July 31, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2021

Registered at 9040 JACKSON AVE, TACOMA, WA 984310001 (Tel: 2539681110)

📍
Updated Business Mailing Address July 31, 2021

Registered at 9040 JACKSON AVE, TACOMA, WA 984310001

👤
Provider Name / Credentials Updated July 31, 2021

Recorded as VIRGIL MOORE, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 31, 2021

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: 1457024713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2021
Last Update: November 01, 2022
Sole Proprietor: No

Mailing Address

9040 Jackson Ave

Tacoma, WA 984310001

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.