DR. JORDAN A MOORE (NPI# 1013992619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013992619 |
| Entity Type | Individual |
| Full Name | DR. JORDAN A MOORE |
| Credential | MD |
| Practice Address |
121 E Silver Spring Dr Whitefish Bay WI 53217-4702 |
| Practice Telephone | 4149649030 |
| Mailing Telephone | 4149649030 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2016-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 26687 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952337 | Jordan Dru Moore | Speech-Language Pathologist | 2709 Francisco St Unit B, Austin, TX 78702-3920 | 2020-08-12 |
| 1134767312 | Jordan David Moore | Specialist/Technologist | Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482 | 2019-12-18 |
| 1295387660 | Jordan William Moore | Chiropractor | 7921 Tanner Williams Rd Ste B, Mobile, AL 36608-8303 | 2019-07-15 |
| 1164980801 | Jordan Moore | Student in an Organized Health Care Education/Training Program | 800 Galloway Drive, Hammond, LA 70402-0001 | 2019-03-12 |
| 1255826111 | Jordan Moore | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1124522834 | Jordan Alexander Moore | Technician, Pathology | 4032 Knollbrook Dr Nw, Huntsville, AL 35810-1832 | 2018-03-19 |
| 1134673577 | Jordan Robert Moore | Pharmacist | 202 Becker St, Danville, PA 17821-1180 | 2016-08-14 |
| 1609425743 | Jordan Moore | Behavior Technician | 418b W Mountain St, Kernersville, NC 27284-2534 | 2019-09-11 |
| 1215583091 | Jordan Moore | Case Manager/Care Coordinator | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2019-08-16 |
| 1821651571 | Jordan Russell Moore | Nurse Practitioner | 206 S Mulberry St, Mount Vernon, OH 43050-3331 | 2019-04-18 |
| Street Address |
121 E SILVER SPRING DR |
| City | WHITEFISH BAY |
| State | WI |
| Zip Code | 53217-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942556428 | Forefront Dermatology, S.c. | Dermatology | 121 E Silver Spring Dr, Whitefish Bay, WI 53217 | 2012-08-02 |
| 1922322270 | Jordan A Moore Md Sc | Dermatology | 121 E Silver Spring Dr, Whitefish Bay, WI 53217-4702 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912918186 | Karen L Maloney | Dermatology | 121 E Silver Spring Dr Ste 202, Whitefish Bay, WI 53217-4762 | 2006-08-11 |
| 1922322270 | Jordan A Moore Md Sc | Dermatology | 121 E Silver Spring Dr, Whitefish Bay, WI 53217-4702 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
| 1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
| 1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
| 1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
| 1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers with the same taxonomy | ||||
| City | WHITEFISH BAY |
| Zip Code | 53217 |
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| 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.