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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
06849 | MS | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
146 ROAD 83 |
City | TUPELO |
State | MS |
Zip Code | 38801-6971 |
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 Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
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. |
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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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.