DR. JACK MOORE


Address: 3800 Reservoir Rd Nw, Washington, DC 20007-2113
Phone: 2028776034

DR. JACK MOORE (NPI# 1467426221) 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) 1467426221
Entity Type Individual
Full Name DR. JACK MOORE
Credential MD
Practice Address 3800 Reservoir Rd Nw
Washington
DC 20007-2113
Mailing Address Po Box 418283
Boston
MA 02241-8283
Practice Telephone 2028776034
Practice Fax Number 2028778329
Mailing Telephone 2028776034
Mailing Fax Number 2028778329
Enumeration Date 2006-02-16
Last Update Date 2015-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist MD19916 DC Other Service Providers
Y 207RN0300X Internal Medicine
Specialization: Nephrology
MD19916 DC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 5817889 05
DC 025615700 05
MD 042931700 05

Other Providers JACK MOORE

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
1235170812 Jack W Moore Orthopaedic Surgery 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 2006-06-08
1104876606 Jack D Moore Specialist 4321 Washington St, 5300, Kansas City, MO 64111-5961 2006-05-12

Office Location

Street Address 3800 RESERVOIR RD NW
City WASHINGTON
State DC
Zip Code 20007-2113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396748802 John Hugh Lynch Urology 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2005-05-31
1346841087 Shahrzad Chitsaz Pharmacist 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-11-07
1891392296 Morgan M Casimir Occupational Therapist 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-10-08
1922615764 Kelly Trump Nurse Practitioner 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-25
1790392819 La Sheron A Bankhead Speech-Language Pathologist 3800 Reservoir Rd Nw, Bles Building, Ground Floor, Room Cg-12, Washington, DC 20007 2020-09-24
1689289688 Laurie L Nguyen Registered Nurse 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-15
1598370652 Yazan Subhi Juma' Student in an Organized Health Care Education/Training Program 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-14
1326653668 Allison Elizabeth Boyd Physician Assistant 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-14
1770198301 Medstar Medical Group II LLC Internal Medicine 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-10
1497370167 Kirby K Edsill Internal Medicine 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-06-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447872411 Pamela Angela Jackson Counselor 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 2020-05-13
1992289334 Chelsea Carolyn Stahl Nurse Practitioner Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 2018-09-21
1205322070 Etta L Sandler Social Worker 3222 N Street, N.w., # 300, Washington, DC 20007 2018-07-05
1609361286 Sarah Kathryn Thibeau Speech-Language Pathologist 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 2018-06-26
1366947871 Stephen William Kwong Student in an Organized Health Care Education/Training Program Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 2018-03-27
1720599020 Nnenna Sylverline Ewuzie Home Health Aide 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 2017-10-13
1457870958 Chief Logan Health Supplies Durable Medical Equipment & Medical Supplies 3220 N St Nw #1400, Washington, DC 20007 2017-09-15
1174985220 Robert Matthew Cronin Physician Assistant 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 2016-03-27
1194111898 Clute Clinic Nurse Practitioner 1315 31 St Nw, Washington, DC 20007 2015-04-09
1003211129 Mary Oluwaseyi Akinbo Registered Nurse 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 2014-10-31
Find all providers in zip 20007

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619453388 Suvi Bhubendra Rasaiah Internal Medicine 106 Irving St Nw Ste 201, Washington, DC 20010-2993 2018-07-16
1740691054 Divya Shankaranarayanan Internal Medicine 2150 Pennsylvania Ave Nw Ste 3-438, Washington, DC 20037-3201 2014-05-09
1285075218 Ziad Alkhouri Internal Medicine 730 24th St Nw Ste 17, Washington, DC 20037-2543 2013-07-05
1649478462 Roopali Gupta Internal Medicine 110 Irving St Nw Ste Nw # 2a-70, Washington, DC 20010-2976 2007-07-03
1205045010 Malcolm C. Cox Internal Medicine Of Veterans Affairs Offfice of Academic Affili, 810 Vermont Ave., Nw, Washington, DC 20420-0001 2007-05-21
1881782464 Stephen Wayne Olson Internal Medicine Walter Reed Army Medical Center 6900 Georgia Ave, Washington, DC 20307-0001 2006-10-10
1285731620 Fred Irwin Polsky Internal Medicine 4100 Cathedral Ave Nw, Apt. Ph-16, Washington, DC 20016-3584 2006-09-20
1700807674 Serban A Dragoi Internal Medicine 3800 Reservoir Rd Nw # 6-phc, Washington, DC 20007-2113 2006-07-23
1902835028 Vascular Access Center of Washington Dc, LLC Internal Medicine 1010 Vermont Ave Nw, Suite 300, Washington, DC 20005-4902 2006-07-01
1821042359 Violet Habwe Internal Medicine 730 24th Street Nw, Suite 17, Washington, DC 20037 2006-05-20
Find all providers in WASHINGTON

Competitor

Search similar providers

City WASHINGTON
Zip Code 20007

Improve Information

Please comment or provide details below to improve the information on DR. JACK MOORE.

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.

Trending Searches