JEFFREY MOORE (NPI# 1932515475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932515475 |
| Entity Type | Individual |
| Full Name | JEFFREY MOORE |
| Credential | MD |
| Practice Address |
1616 S Kelly Ave Edmond OK 73013-3651 |
| Practice Telephone | 4054866980 |
| Practice Fax Number | 4054266420 |
| Mailing Telephone | 4054866980 |
| Mailing Fax Number | 4054266420 |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MD467707 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 703 Main St, Paterson, NJ 075032621 | 9737542000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326399478 | Jeffrey David Moore | Physical Therapist | 700 Us Hwy 24 S, Buena Vista, CO 81211 | 2012-09-28 |
| 1023305109 | Jeffrey George Moore | Anesthesiology | 1433 Caring Ct, Maitland, FL 32751-4252 | 2011-07-08 |
| 1013233345 | Jeffrey Scott Moore | Social Worker | 430 E 450 S, Clearfield, UT 84015-1736 | 2010-04-12 |
| 1295991529 | Jeffrey W Moore | Dentist | 4011 E Renner Rd Ste 107, Richardson, TX 75082-2917 | 2008-08-06 |
| 1447318803 | Jeffrey Morgan Moore | Dentist | 11765 Mcminnville Hwy, Walling, TN 38587 | 2006-12-05 |
| 1003981085 | Jeffrey M Moore | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2006-11-22 |
| 1821196478 | Jeffrey K Moore | Orthopaedic Surgery | 4218-m Arendell St, Morehead City, NC 28557-2805 | 2006-09-20 |
| 1538273909 | Jeffrey Michael Moore | Chiropractor | 333 Commerce Dr Ste 175, Crystal Lake, IL 60014-3596 | 2006-08-19 |
| 1720013089 | Jeffrey Karl Moore Sr. | Medical Genetics, Ph.D. Medical Genetics | 514 Fisk St, Nashville, TN 37203-2846 | 2006-07-12 |
| 1447275557 | Jeffrey Moore | Optometrist | 4455 Cleveland Ave Ste A, Fort Myers, FL 33901-9057 | 2006-07-12 |
| Street Address |
1616 S KELLY AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665347 | Donald E Adams | Physical Medicine & Rehabilitation | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-01-31 |
| 1336683515 | Madison Williams | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2016-12-07 |
| 1740694611 | Jenna Lynn Crowder | Family Medicine | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2014-06-18 |
| 1083952485 | Whitney T Mashburn | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2013-01-21 |
| 1205152600 | Hpi Physicians LLC | Internal Medicine | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2010-04-12 |
| 1891992996 | Laura Diane Petrash | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2007-07-02 |
| 1528097904 | Hillary Seth Lawrence | Dermatology | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-06-30 |
| 1033179106 | Amanda Lynn Bruschi | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-03-24 |
| 1578539029 | Rupert Rockwell Thomas Sr. | Obstetrics & Gynecology | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-02-24 |
| 1831164458 | Manuel Carl Limbaugh | Family Medicine | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831270511 | Ernest Alexander L'heureux Jr. | Orthopaedic Surgery | 1405 Nw 150th St, Edmond, OK 73013-1305 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441989 | Scuderia Spinale, Pllc | Orthopaedic Surgery | 10710 S Fir Pl, Jenks, OK 74037-3026 | 2020-06-08 |
| 1255893335 | Sok Care of Ok, LLC | Orthopaedic Surgery | 10601 S Western Ave Ste 3, Oklahoma City, OK 73170-6201 | 2019-04-05 |
| 1568934859 | Orthopedic Spine Associates | Orthopaedic Surgery | 14100 Parkway Commons Dr Ste 101, Oklahoma City, OK 73134-6036 | 2018-12-26 |
| 1013488048 | Essential Integrative Health Pllc | Orthopaedic Surgery | 3705 Nw 63rd St Ste 201, Oklahoma City, OK 73116-1937 | 2018-12-17 |
| 1154820009 | Spine Cin of Oklahoma City LLC | Orthopaedic Surgery | 10601 S Western Ave # 1, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1619476561 | Joint Replacement Cin of Oklahoma City LLC | Orthopaedic Surgery | 10601 S Western Ave # 2, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1952724494 | Jeffrey Schimandle | Orthopaedic Surgery | 6112 N Villa Ave, Oklahoma City, OK 73112-7159 | 2014-02-03 |
| 1659627289 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 2506 North Harrison Avenue, Shawnee, OK 74804-4022 | 2012-08-01 |
| 1881816197 | Kris Parchuri | Orthopaedic Surgery | 8165 S Mingo Rd Ste 201, Tulsa, OK 74133-4668 | 2007-05-03 |
| 1013912617 | Cheng-lun Soo | Orthopaedic Surgery | 9821 S May Ave Ste B, Oklahoma City, OK 73159-7042 | 2005-06-20 |
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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.