JASON OTIS MOORE


Address: 500 W. Ave E St., Hope, AR 71801
Phone: 8707730700

JASON OTIS MOORE (NPI# 1154705382) 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) 1154705382
Entity Type Individual
Full Name JASON OTIS MOORE
Practice Address 500 W. Ave E St.
Hope
AR 71801
Mailing Address 2607 Caddo St. - Ste. 6
Arkadelphia
AR 71923-5307
Practice Telephone 8707730700
Practice Fax Number 8707730705
Mailing Telephone 8702308217
Mailing Fax Number 8702308201
Enumeration Date 2015-07-17
Last Update Date 2019-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator AR Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR 226648795 05

Other Providers JASON MOORE

NPI Name Taxonomy Address Enumeration
1487266011 Jason Wade Moore Peer Specialist 5 West Pearce Boulevard, Wentzville, MO 63385 2020-08-17
1629532734 Jason Dewitt Moore Chiropractor 2204 2nd Ave W Ste 102, Williston, ND 58801-3485 2019-01-23
1134602204 Jason Moore Community Health Worker 431 William St, Buffalo, NY 14204-1819 2018-09-13
1215436852 Jason T Moore Hearing Instrument Specialist 1525 Port Clinton Rd Ste D, Fremont, OH 43420-1234 2018-02-09
1235641622 Jason Moore Private Vehicle 5526 Bandera Springs Cir, Riverview, FL 33578-3686 2017-10-25
1588191258 Jason Moore Specialist 522 Ne Thompson St, Portland, OR 97212-3843 2017-05-12
1346772662 Jason Moore Home Health Aide 209a Rocky Run Rd, Fredericksburg, VA 22406-5413 2017-03-28
1497020721 Jason L Moore Massage Therapist 1920 Springville Rd, Wooster, OH 44691-9729 2012-03-20
1093923864 Jason Ellis Moore Occupational Therapist 35 Edmar Ave, Marietta, OH 45750-7603 2007-05-17
1790826675 Jason Wayne Moore Physical Therapist 2021 Columbus Ave, Washington Court House, OH 43160-9094 2007-02-12

Office Location

Street Address 500 W. AVE E ST.
City HOPE
State AR
Zip Code 71801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528524956 Yasmin Morgan Lpc Counselor 1806 N. Spruce St, Hope, AR 71801 2019-02-11
1205318169 Dewayne Bonner Case Manager/Care Coordinator 1401 S. Main St, Hope, AR 71801 2018-09-06
1194207118 Cassie Gonzales Case Manager/Care Coordinator 1401 S. Main Street, Hope, AR 71801 2018-09-06
1912457136 Stacy Davis Occupational Therapist 510 Hempstead 173w, Hope, AR 71801 2016-10-12
1114386976 Elizabeth Kay Henley Specialist 5180 Hemstead 3, Hope, AR 71801 2016-02-22
1053783894 Kourtney Smith Pharmacist 1004 Commerce Blvd, Hope, AR 71801 2015-10-20
1700284163 Cox Family Practice Preferred Provider Organization 2015 Main Street, Hope, AR 71801 2014-12-16
1932512068 Gregory Alan Davis Counselor 802 E 3rd St, Hope, AR 71801 2014-06-05
1821420688 Callie Brooke Gilbey Speech-Language Pathologist 249 Hempstead 243, Hope, AR 71801 2013-08-05
1205056595 The Clinic for Children, Youth and Young Adults Pediatrics 820 Main St S, Hope, AR 71801 2007-04-27
Find all providers in zip 71801

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770115164 John Daivd Rittenburg Case Manager/Care Coordinator 1359 Cassaday Dr, Hope, MI 48628-9765 2020-02-04
1205318169 Dewayne Bonner Case Manager/Care Coordinator 1401 S. Main St, Hope, AR 71801 2018-09-06
1194207118 Cassie Gonzales Case Manager/Care Coordinator 1401 S. Main Street, Hope, AR 71801 2018-09-06
1336410224 Yvonne Marie Nelson Case Manager/Care Coordinator 707 Greenwood, Hope, AR 71801-9666 2012-01-24
1861525198 Christina Ann Regan Case Manager/Care Coordinator 707 E Greensboro, Hope, AR 71801 2007-03-14
1437791423 Tennelle O Thomas Case Manager/Care Coordinator 707 E Greenwood St, Hope, AR 71801-9666 2019-10-11
1164064150 Nathan J Lafrenz Case Manager/Care Coordinator 707 E Greenwood St, Hope, AR 71801-9666 2019-10-11
1750935540 Vanessa Lashell Satterfield Case Manager/Care Coordinator 707 E Greenwood St, Hope, AR 71801-9666 2019-07-30
1194283036 Gabriel Javon Hickman Case Manager/Care Coordinator 707 E Greenwood St, Hope, AR 71801-9666 2019-03-11
1013492768 Willie Terence Harris Case Manager/Care Coordinator 300 E 20th St, Hope, AR 71801-8217 2018-09-28
Find all providers in HOPE

Competitor

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City HOPE
Zip Code 71801

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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.

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