JAMES L. MOORE, JR., M.D., P.A. (NPI# 1396161493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396161493 |
| Entity Type | Organization |
| Organization Name | JAMES L. MOORE, JR., M.D., P.A. |
| Other Organization Name | MISSISSIPPI GYNECOLOGIC CANCER GROUP |
| Practice Address |
501 Marshall St Ste 600 Jackson MS 39202-1650 |
| Practice Telephone | 6019486540 |
| Practice Fax Number | 6013261501 |
| Mailing Telephone | 6019486540 |
| Mailing Fax Number | 6013261501 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |
| Authorized Official Name | MRS. JULIE FERGUSON (ADMINISTRATOR) |
| Authorized Official Telephone | 6019486540 |
| Authorized Official Credential | RN, BSN, CPCO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mississippi Gynecologic Cancer Group | Doing Business As Name - Organization |
| Street Address |
501 MARSHALL ST STE 600 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659871424 | Amanda Leigh Ellis | Nurse Practitioner | 501 Marshall St Ste 600, Jackson, MS 39202-1650 | 2018-02-17 |
| 1609292705 | John D. Isaacs Jr., M.d., P.a. | Obstetrics & Gynecology | 501 Marshall St Ste 600, Jackson, MS 39202-1650 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245499110 | John P Mladineo | Obstetrics & Gynecology | 210 Ridge Dr, Jackson, MS 39216-4111 | 2008-06-05 |
| 1417334178 | Medical Foundation of Central Ms Inc. | Obstetrics & Gynecology | 1600 N State St, Suite 400, Jackson, MS 39202-1689 | 2015-05-01 |
| 1346510559 | St Dominic Medical Associates | Obstetrics & Gynecology | 971 Lakeland Dr, Suite 750, Jackson, MS 39216-4643 | 2012-01-04 |
| 1962639104 | Christen Lynel Walters Haygood | Obstetrics & Gynecology | 971 Lakeland Dr, Suite 750, Jackson, MS 39216-4643 | 2009-06-15 |
| 1891951836 | Mississippi Oncology Associates | Obstetrics & Gynecology | 971 Lakeland Dr, Suite 750, Jackson, MS 39216-4643 | 2008-07-30 |
| 1225073026 | James Blythe | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-17 |
| 1265479471 | James Love Moore Jr. | Obstetrics & Gynecology | 501 Marshall St, Suite 600, Jackson, MS 39202-1651 | 2006-05-31 |
| 1134111867 | Mildred Ridgway | Obstetrics & Gynecology | 971 Lakeland Dr, Ste 750, Jackson, MS 39216-4643 | 2005-08-18 |
| 1194717363 | Donald Paul Seago | Obstetrics & Gynecology | 971 Lakeland Dr, Ste 750, Jackson, MS 39216-4643 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457836637 | Lakeland Premier Women's Clinic Pllc | Obstetrics & Gynecology | 2506 Lakeland Dr Ste 600, Flowood, MS 39232-7640 | 2018-10-03 |
| 1508813825 | Michael A Finan | Obstetrics & Gynecology | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2006-05-30 |
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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.