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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 5817889 | 05 | |
DC | 025615700 | 05 | |
MD | 042931700 | 05 |
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 |
Street Address |
3800 RESERVOIR RD NW |
City | WASHINGTON |
State | DC |
Zip Code | 20007-2113 |
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 |
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 Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
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. |
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 |
City | WASHINGTON |
Zip Code | 20007 |
Please comment or provide details below to improve the information on DR. JACK MOORE.
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.