GRETCHEN MOORE


Address: 4300 Londonderry Rd, Harrisburg, PA 17109-5317
Phone: 7172318772

GRETCHEN MOORE (NPI# 1578017851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578017851
Entity Type Individual
Full Name GRETCHEN MOORE
Credential PA-C
Practice Address 4300 Londonderry Rd
Harrisburg
PA 17109-5317
Mailing Address 409 S 2nd St Ste 2f
Harrisburg
PA 17104-1612
Practice Telephone 7172318772
Practice Fax Number 7172318435
Enumeration Date 2016-08-04
Last Update Date 2018-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA058337 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 103183079 05

Office Location

Street Address 4300 LONDONDERRY RD
City HARRISBURG
State PA
Zip Code 17109-5317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649274598 Stephanie Ann Kramer Nurse Anesthetist, Certified Registered 4300 Londonderry Rd, Harrisburg, PA 17109 2005-06-09
1538780515 Kevin Matthew Nowakowski Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-05-01
1265053417 James Farrell Internal Medicine 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-29
1003436353 Isaac Nivar Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-16
1841819588 Christopher Ferguson Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-13
1679192579 Inderpreet Singh Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-10
1902435373 Timothy Warren Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-07
1902435340 Cameron Park Slane Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-07
1295364974 Kelly Marie Fening Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-05
1437788171 Adrian Julian Lowenfeld Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841786852 Caroline Lippe Surgery Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 2018-07-03
1073000477 Sunny R Parekh Orthopaedic Surgery Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 2018-04-20
1003329459 Liyah Care Homecare, LLC In Home Supportive Care 301 N. Progress Ave, #c5, Harrisburg, PA 17109 2017-11-08
1073069951 Hannah Marie Lafleur Specialist/Technologist 500 Nevada Ave., Harrisburg, PA 17109 2016-08-30
1467792333 Donna M Oswandel Registered Nurse 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 2013-02-28
1841575206 Jeanine D Bucek Nurse Practitioner 550 North Progress Avenue, Harrisburg, PA 17109 2011-10-18
1225348899 Ashley Dominique Hudson Optometrist Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 2010-10-18
1215177183 Schappell Chiropractic, PC Chiropractor 3301 Schoolhouse Lane, Harrisburg, PA 17109 2009-03-04
1902057524 Orthopedic Surgeons Ltd Orthopaedic Surgery 450 Powers Avenue, Harrisburg, PA 17109 2008-10-01
1124286984 Scott Kevin Leedy Dentist 3106 Walnut Street, Harrisburg, PA 17109 2008-05-29
Find all providers in zip 17109

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932591260 Denise Ann Mesaros Physician Assistant 5071 Bass Lake Dr Apt 2003, Harrisburg, PA 17111-5918 2015-02-24
1003128547 Maegan E Greenwade Physician Assistant 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 2010-07-13
1356472799 Jeffrey John Hollenbach Physician Assistant 4605 Locust Ln, Harrisburg, PA 17109-4424 2007-03-08
1598730483 Joan Nerviano Physician Assistant 3601 N Progress Ave, Harrisburg, PA 17110-9100 2006-02-22
1649264268 Marnie Irene Odonnell Physician Assistant 121 Nyes Rd, Harrisburg, PA 17112-3247 2005-09-09
1538791728 Samantha Larsen Physician Assistant 111 S Front St, Harrisburg, PA 17101-2010 2020-02-06
1730721523 Michalia Amony Humphrey Physician Assistant 2200 Dover Rd, Harrisburg, PA 17112-1002 2019-10-13
1619438926 Justin Lanni Physician Assistant 111 S Front St, Harrisburg, PA 17101-2010 2019-03-28
1134672660 Anthony J Manney Physician Assistant 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 2016-08-02
1790150324 Alyssa N. Peck Physician Assistant 111 S Front St, Harrisburg, PA 17101-2010 2015-12-08
Find all providers in HARRISBURG

Competitor

Search similar providers

City HARRISBURG
Zip Code 17109

Improve Information

Please comment or provide details below to improve the information on GRETCHEN MOORE.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches