Doctor profile · Federal record

Dr. Michael Moore, PA-C

Medical Physician Assistant · Comstock Park, MI

  • NPI 1225039837
  • 21 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4200 Division Ave N
Comstock Park, MI 493219546
(616) 252-1600
fax (616) 252-1666
Mailing address
1925 Breton RD Se, Suite 201
Grand Rapids, MI 495064810

Credentials & registration

NPPES · NUCC
NPI registered
August 2005 — 21 yrs on file
Profile last updated
May 9, 2012
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
Michigan #5601002580

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1225039837. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$212
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Janssen Pharmaceuticals, INC 1 $124.19
Janssen Biotech, INC. 1 $88.20

By nature of payment

Food and Beverage
$212

Frequently asked questions

Auto-generated from federal data
What is Dr. Michael Moore's medical specialty?
Dr. Michael Moore practices Medical Physician Assistant in Comstock Park, MI.
Where does Dr. Michael Moore practice?
Dr. Michael Moore practices at 4200 Division Ave N, Comstock Park, MI 493219546. Office phone: 6162521600.
What is Dr. Michael Moore's NPI?
Dr. Michael Moore's National Provider Identifier (NPI) is 1225039837, issued by NPPES.