JASON ANTHONY MOORE (NPI# 1902325681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902325681 |
Entity Type | Individual |
Full Name | JASON ANTHONY MOORE |
Credential | PA-C |
Practice Address |
13861 Plantation Rd Ste 104 Fort Myers FL 33912-4342 |
Practice Telephone | (239) 225-1306 |
Practice Fax Number | 2397681313 |
Mailing Telephone | 2392251306 |
Mailing Fax Number | 2397681313 |
Enumeration Date | 2017-09-14 |
Last Update Date | 2017-09-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAT9110628 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
1629532734 | Jason Dewitt Moore | Chiropractor | 2204 2nd Ave W Ste 102, Williston, ND 58801-3485 | 2019-01-23 |
1134602204 | Jason Moore | Community Health Worker | 431 William St, Buffalo, NY 14204-1819 | 2018-09-13 |
1215436852 | Jason T Moore | Hearing Instrument Specialist | 1525 Port Clinton Rd Ste D, Fremont, OH 43420-1234 | 2018-02-09 |
1235641622 | Jason Moore | Private Vehicle | 5526 Bandera Springs Cir, Riverview, FL 33578-3686 | 2017-10-25 |
1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
1346772662 | Jason Moore | Home Health Aide | 209a Rocky Run Rd, Fredericksburg, VA 22406-5413 | 2017-03-28 |
1154705382 | Jason Otis Moore | Case Manager/Care Coordinator | 500 W. Ave E St., Hope, AR 71801 | 2015-07-17 |
1497020721 | Jason L Moore | Massage Therapist | 1920 Springville Rd, Wooster, OH 44691-9729 | 2012-03-20 |
1093923864 | Jason Ellis Moore | Occupational Therapist | 35 Edmar Ave, Marietta, OH 45750-7603 | 2007-05-17 |
Street Address |
13861 PLANTATION RD STE 104 |
City | FORT MYERS |
State | FL |
Zip Code | 33912-4342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144589854 | Seth William Jelinek | Internal Medicine | 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 | 2012-05-15 |
1326670415 | Daniela Alejandra Paez | Physician Assistant | 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 | 2020-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
Find all providers in zip 33912 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679981641 | Corbett Family Medical Center Plc | Physician Assistant | 4991 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2014-07-23 |
1437599438 | A&b Premier Medical Services | Physician Assistant | 10390 Washingtonia Palm Way Apt 4424, Fort Myers, FL 33966-7992 | 2013-07-05 |
1609118645 | Sunshine Mobile Medical Services, LLC | Physician Assistant | 2301 Harvard Ave, Fort Myers, FL 33907-4232 | 2013-03-16 |
1821272774 | Ashokkumar B Chaudhari | Physician Assistant | 6599 Plantation Preserve Cir N, Fort Myers, FL 33966-8366 | 2007-12-27 |
1982767745 | Elaine-maria Zafar | Physician Assistant | 8381 Riverwalk Park Blvd Ste 202, Fort Myers, FL 33919-8760 | 2006-12-19 |
1093707341 | Richard D Ornato | Physician Assistant | 9400 Gladiolus Dr, Suite 250, Fort Myers, FL 33908-6699 | 2005-08-22 |
1841841822 | Anisa Meghan Jallal | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-22 |
1275181265 | Rachel Michele Bautsch | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-03 |
1447758818 | William Floyd Meyer | Physician Assistant | 11300 Lindbergh Blvd Ste 110, Fort Myers, FL 33913 | 2018-01-31 |
1609313246 | Lifestyles Healthcare Group Pa | Physician Assistant | 11300 Lindbergh Blvd Ste 110, Fort Myers, FL 33913-8827 | 2017-01-20 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33912 |
Please comment or provide details below to improve the information on JASON ANTHONY 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.