DR. JERRY PASCALL MOORE


Address: 146 Road 83, Tupelo, MS 38801-6971
Phone: 6624070199

DR. JERRY PASCALL MOORE (NPI# 1356497416) 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) 1356497416
Entity Type Individual
Full Name DR. JERRY PASCALL MOORE
Credential MD
Practice Address 146 Road 83
Tupelo
MS 38801-6971
Practice Telephone 6624070199
Mailing Telephone 6624070199
Enumeration Date 2007-01-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
06849 MS Allopathic & Osteopathic Physicians

Other Providers JERRY MOORE

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1558845743 Jerry R Moore Counselor 16000 Hunters Run, Marysville, OH 43040-9659 2018-09-24
1154832954 Jerry Moore Pharmacist 1902 N Academy St, Guymon, OK 73942-2756 2017-10-19
1720501455 Jerry Leo Moore Jr. Non-emergency Medical Transport (VAN) 10408 Preston Vineyard Dr, Frisco, TX 75035 2017-07-25
1780058362 Jerry Moore Case Manager/Care Coordinator 6116 Camrose Dr, Anchorage, AK 99504-3227 2015-11-19
1083093074 Jerry Moore Pharmacist 1221 Corporate Drive East, Arlington, TX 76006 2015-05-22
1780931436 Jerry R Moore Counselor 5621 Creekmore Dr, Oklahoma City, OK 73179-7916 2012-08-13
1528370947 Jerry Don Moore Counselor 7 N 8th St, Duncan, OK 73533-4601 2010-07-14
1154723070 Jerry P Moore Pharmacist 510 N Broad St, Seagrove, NC 27341-8583 2014-09-23
1174805741 Jerry Wayne Moore Social Worker 60 Merrimac St, Haverhill, MA 01830-6207 2011-09-09
1033368790 Jerry Moore Sr. Licensed Practical Nurse 417 Liberty St, Springfield, MA 01104-3736 2008-09-17

Office Location

Street Address 146 ROAD 83
City TUPELO
State MS
Zip Code 38801-6971

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
Find all providers in zip 38801

Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053737460 Frances Jariel Hairston Pathology 830 S Gloster St, Pathology Department, Tupelo, MS 38801-4934 2014-03-10
1386939478 Sherry Denise Okun Pathology 830 S Gloster St, Pathology Department, Tupelo, MS 38801-4934 2011-06-16
1316259195 Lulin Hu Pathology 830 S Gloster St, Tupelo, MS 38801-4934 2010-07-08
1093838799 Cohra Colleen Mankey Pathology 830 S Gloster St, Pathology Dept, Tupelo, MS 38801-4934 2007-04-09
1649365370 Robert Wylie Jarrett Jr. Pathology 830 S Gloster St, Pathology Department, Tupelo, MS 38801-4934 2006-10-04
1841232782 Mark Stephen Huffman Pathology 830 S Gloster St, Tupelo, MS 38801-4934 2006-06-12
1093757007 Rickey Lynn Hicks Pathology 830 S Gloster St, Tupelo, MS 38801-4934 2006-06-12
1417995119 Ishak Lukas Enggano Pathology 830 S Gloster St, Tupelo, MS 38801-4934 2006-06-03
1831137512 Tupelo Pathology Group, P.a. Pathology 830 S Gloster St, Pathology Dept, Tupelo, MS 38801-4934 2006-06-03
1255386108 Harold Edward Sightler Pathology 830 S Gloster St, Pathology Dept, Tupelo, MS 38801-4934 2006-05-22
Find all providers in TUPELO

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City TUPELO
Zip Code 38801

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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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