DR. JACK W MOORE (NPI# 1235170812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235170812 |
| Entity Type | Individual |
| Full Name | DR. JACK W MOORE |
| Credential | M.D. |
| Practice Address |
4715 Whitesburg Dr S Huntsville AL 35802-1632 |
| Practice Telephone | 2568815151 |
| Practice Fax Number | 2568803939 |
| Mailing Telephone | 2568815151 |
| Mailing Fax Number | 2568803939 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 21750 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982890331 | Jack Lowell Moore | Dentist | 700 Sunrise Avenue, Suite C, Roseville, CA 95661-4561 | 2007-09-19 |
| 1891063236 | Jack Moore | Optometrist | 3700 Martin Way E, #101, Olympia, WA 98506-5052 | 2011-12-13 |
| 1568470011 | Jack L Moore | Nurse Practitioner | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2006-08-03 |
| 1164443529 | Jack C Moore II | Family Medicine | 175 S English Station Rd Ste 226, Louisville, KY 40245 | 2006-07-21 |
| 1104876606 | Jack D Moore | Specialist | 4321 Washington St, 5300, Kansas City, MO 64111-5961 | 2006-05-12 |
| 1467426221 | Jack Moore | Specialist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2006-02-16 |
| Street Address |
4715 WHITESBURG DR S |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629021654 | Roswell Charles Morley | Orthopaedic Surgery | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2006-05-19 |
| 1932411444 | Mary E Culbert-west | Occupational Therapist | 4715 Whitesburg Dr S, 100, Huntsville, AL 35802-1632 | 2010-07-13 |
| 1538392519 | Tim Landingham | Massage Therapist | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2009-08-25 |
| 1952543324 | Sportsmed Orthopaedic Specialists, PC | Pharmacist | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2009-04-01 |
| 1477731826 | Livewell Family Medicine LLC | Family Medicine | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2008-02-07 |
| 1104004555 | Workwell Occupational Health Center LLC | Preventive Medicine | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2008-02-07 |
| 1285826636 | Sportsmed Orthopaedic Specialists, P.C. | Physical Therapist | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2007-08-09 |
| 1992902274 | Lucas Carter Lawrimore | Physical Therapist | 4715 Whitesburg Dr S, 100, Huntsville, AL 35802-1632 | 2007-06-29 |
| 1679690432 | Shane Harris | Specialist/Technologist | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2007-03-24 |
| 1326089905 | John A Higginbotham | Orthopaedic Surgery | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184642977 | Brett M Franklin | Orthopaedic Surgery | 4715 Whitesburg Drive, Huntsville, AL 35802-1632 | 2006-07-18 |
| 1376506485 | Huntsville Orthopedic Surgery | Orthopaedic Surgery | 129 Medical Park Lane, Huntsville, TX 77340 | 2006-04-10 |
| 1790746923 | Gilbert M Aust Jr. | Orthopaedic Surgery | 717 Adams St Se, Huntsville, AL 35801-3700 | 2006-03-29 |
| 1437128188 | Steven L Buckley | Orthopaedic Surgery | 927 Franklin St, Huntsville, AL 35801 | 2006-03-15 |
| 1366422727 | Matthew J Deorio | Orthopaedic Surgery | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2006-01-20 |
| 1619480233 | Kristin Leann Torbic | Orthopaedic Surgery | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2017-11-06 |
| 1700143856 | Murray Dale Spruiell | Orthopaedic Surgery | 927 Franklin St Se, Huntsville, AL 35801 | 2012-04-13 |
| 1033438825 | James Turner Hughey IIi | Orthopaedic Surgery | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2010-05-19 |
| 1285962852 | Matthew Daniel Clayton | Orthopaedic Surgery | 4715 Whitesburg Dr Se, Huntsville, AL 35802 | 2009-11-19 |
| 1780812321 | John A Tanksley Jr. | Orthopaedic Surgery | 129 Medical Park Lane, Huntsville, TX 77340-4940 | 2009-06-22 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
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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.