National Provider Identifier

John Thomas Moore, PA-C

John Thomas Moore, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (877) 424-5678.

NPI 1992739874Boston, MAPhysician Assistant

Source: public NPPES record, last updated April 20, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1992739874
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 10, 2006
Last Updated
April 20, 2017

Practice Location

  • 15 Parkman Street, Wang 435
  • Massachusetts General Hospital/Div Of Plastic Surgery
  • Boston, MA 02114-3117

Phone: (877) 424-5678

Specialties

  • Physician Assistant (363A00000X)

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Biography

John Moore, PA-C, is a physician assistant in plastic surgery with Bassett Healthcare Network, practicing at Bassett Herkimer Specialty Services and Cobleskill Regional Hospital and offering TeleMedicine visits. He earned a B.S. from SUNY Albany and an M.P.A.S. from Albany Medical College, and Bassett lists him as certified by the National Commission on Certification of Physician Assistants.

Full Record
NPI
1992739874
Entity Type
Individual
Last Name
Moore
First Name
John
Middle Name
Thomas
Credential
PA-C
Mailing Street Address
15 Parkman Street, Wang 435
Mailing Address Line 2
Massachusetts General Hospital/Div Of Plastic Surgery
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02114-3117
Mailing Country
US
Mailing Phone
(877) 424-5678
Practice Street Address
15 Parkman Street, Wang 435
Practice Address Line 2
Massachusetts General Hospital/Div Of Plastic Surgery
Practice City
Boston
Practice State
MA
Practice ZIP Code
02114-3117
Practice Country
US
Practice Phone
(877) 424-5678
Enumeration Date
July 10, 2006
Last Updated
April 20, 2017
Sex
Male
Sole Proprietor
No
Taxonomies
Physician Assistant (363A00000X)