Jason A Moore (NPI# 1134367386, PAC ID# 1254580780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1134367386 |
| PAC ID by PECOS | 1254580780 |
| Professional Enrollment ID | I20120927000279 |
| Full Name | Jason A Moore |
| Organization Legal Name | LAWNWOOD HEALTHCARE SPECIALISTS LLC |
| Address |
1700 S 23rd St Fort Pierce FL 34950-4803 |
| Phone Number | 7724614000 |
| Gender | M |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 2005 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 4789750118 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100246 | LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE |
| 100260 | ST LUCIE MEDICAL CENTER |
| 100252 | RAULERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 7724614000 | LAWNWOOD HEALTHCARE SPECIALISTS LLC |
| 2402 Frist Blvd, Fort Pierce, FL 34950-4838 | 7724623939 | LAWNWOOD HEALTHCARE SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 43% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 23% |
| Organization Legal Name | LAWNWOOD HEALTHCARE SPECIALISTS LLC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Michael Sandilands | Orthopedic Surgery | Lawnwood Healthcare Specialists LLC | 11760 Bird Rd, Suite 722, Miami, FL 33175-8101 |
| Hillary L Tipton | Physician Assistant | Lawnwood Healthcare Specialists LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Anuradha Subramanian | General Surgery | Lawnwood Healthcare Specialists LLC | 2402 Frist Blvd, Suite 204, Fort Pierce, FL 34950-4838 |
| John Jiyong Yoon | General Surgery | Lawnwood Healthcare Specialists LLC | 21110 Biscayne Blvd, Suite 400, Miami, FL 33180-1252 |
| Mailen Gomez | Nurse Practitioner | Lawnwood Healthcare Specialists LLC | 11760 Bird Rd, Suite 722, Miami, FL 33175-8101 |
| Eileen M Bernal | Critical Care (intensivists) | Lawnwood Healthcare Specialists LLC | 11760 Bird Rd, Suite 722, Miami, FL 33175-8101 |
| Pamela T Escalante | Physician Assistant | Lawnwood Healthcare Specialists LLC | 11760 Bird Rd, Suite 722, Miami, FL 33175-8101 |
| John L Whitehead | General Surgery | Lawnwood Healthcare Specialists LLC | 21110 Biscayne Blvd, Suite 400, Miami, FL 33180-1252 |
| Jaclyn E Rohan | Physician Assistant | Lawnwood Healthcare Specialists LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Stacey T Martindale | General Surgery | Lawnwood Healthcare Specialists LLC | 21110 Biscayne Blvd, Suite 400, Miami, FL 33180-1252 |
| Street Address |
1700 S 23RD ST |
| City | FORT PIERCE |
| State | FL |
| Zip | 34950-4803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia M Wilson | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Eric T Stanley | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Sabrina M Seus | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Brian L Fisher | Anesthesiology | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Margaret E. Mgbemena | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Hillary L Tipton | Physician Assistant | Lawnwood Healthcare Specialists LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Paul Njeru | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Melissa G Tucker | Nurse Practitioner | Fl-i Medical Services LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Jesus E Viloria | Pathology | Quality Pathology Group Inc | 1700 S 23rd St, Ft Pierce, FL 34950-4803 |
| Jerry K Wilson | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ziad Marjieh | Cardiovascular Disease (cardiology) | 1801 Se Hillmoor Dr, B109, Port Saint Lucie, FL 34950 | |
| Wilhelmina Lewis | Family Medicine | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Serge Volma Valme | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Sarang Hadaegh | General Practice | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Rene Leyva Quevedo | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Reinaldo Hernandez Silva | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Gladys Duarte | General Practice | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Anitra G Brown | Obstetrics/gynecology | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Arlene Morrison | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Lola B. Harrison | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Find all physicians in zip 34950 | |||
| City | FORT PIERCE |
| Zip Code | 34950 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | FORT PIERCE + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Jason A Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.