DR. JASON R MOORE (NPI# 1023037348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023037348 |
| Entity Type | Individual |
| Full Name | DR. JASON R MOORE |
| Credential | M.D. |
| Practice Address |
2006 Health Campus Dr Rockingham VA 22801-8679 |
| Mailing Address |
Po Box 1430 Harrisonburg VA 22803-1430 |
| Practice Telephone | 5406895800 |
| Practice Fax Number | 7574317136 |
| Mailing Telephone | 5406895800 |
| Mailing Fax Number | 7574317136 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2011-01858 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 29136 | SC | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0101258172 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116025638 | VA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1023037348 | 05 |
| 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 |
2006 HEALTH CAMPUS DR |
| City | ROCKINGHAM |
| State | VA |
| Zip Code | 22801-8679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407401151 | Elaine A. Clancey | Nurse Practitioner | 2006 Health Campus Dr, Rockingham, VA 22801-8679 | 2019-08-08 |
| 1366003949 | Miranda Nicole Hinkle | Physician Assistant | 2006 Health Campus Dr, Rockingham, VA 22801-8679 | 2019-06-25 |
| 1689193617 | Haley G Tusing | Nurse Practitioner | 2006 Health Campus Dr, Rockingham, VA 22801-8679 | 2017-09-11 |
| 1922537547 | Lakeitha Lanay Berry | Nurse Practitioner | 2006 Health Campus Dr, Rockingham, VA 22801-8679 | 2017-06-07 |
| 1427418680 | Healthstat Onsite Clinic Rockingham Memorial Hospital | Preventive Medicine | 2006 Health Campus Dr, Hahn Bldg., Third Floor Room H3315, Rockingham, VA 22801-8679 | 2016-03-02 |
| 1669844908 | Rmh Medical Group LLC | General Practice | 2006 Health Campus Dr, Rockingham, VA 22801-8679 | 2015-10-27 |
| 1427430396 | Tracy Moll | Psychiatry & Neurology | 2006 Health Campus Dr, Rockingham, VA 22801-8679 | 2015-06-26 |
| 1932536489 | Taylor Leigh Abraham | Physician Assistant | 2006 Health Campus Dr, Rockingham, VA 22801-8679 | 2013-09-30 |
| 1225375520 | Crystal K Blosser | Nurse Practitioner | 2006 Health Campus Dr, Medical Office Building, 3rd Floor, Rockingham, VA 22801-8679 | 2013-01-08 |
| 1194061028 | Daniel Ruch | Specialist/Technologist | 2006 Health Campus Dr, Rockingham, VA 22801-8679 | 2012-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046678 | Comprehensive Advanced Practice Nursing Care Pllc | Nurse Practitioner | 1866 E Market Street, Pmb 348, Harrisonburg, VA 22801 | 2020-06-01 |
| 1699301788 | Harrisonburg Center for Healing LLC | Psychologist | 1041 Reservoir Street, Suite A, Harrisonburg, VA 22801 | 2020-03-20 |
| 1689233868 | Catherine Saliba Western | Occupational Therapist | 1591 Port Republic Road, Harrisonburg, VA 22801 | 2019-06-11 |
| 1043794027 | Srijana Chhetri | Social Worker | 217 S. Liberty St., Suite 205, Harrisonburg, VA 22801 | 2018-09-17 |
| 1649765306 | Jacob Nathaniel Shank | Physician Assistant | 75 Health Campus Drive, Harrisonburg, VA 22801 | 2018-06-26 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| 1982119475 | C. M. Garrison, Dds, PC | Dentist | 129 University Blvd., Suite D, Harrisonburg, VA 22801 | 2017-12-06 |
| 1518495696 | Amanda Ormsby | Speech-Language Pathologist | 847 Alpine Dr, Harrisonburg, VA 22801 | 2017-06-01 |
| 1447621867 | Generations Crossing | Clinic/Center | 3765 Taylor Spring Lane, Harrisonburg, VA 22801 | 2015-10-12 |
| 1275918427 | Tyechia Blakey | Massage Therapist | 1356 1/2 S. Main St., Harrisonburg, VA 22801 | 2015-07-29 |
| Find all providers in zip 22801 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245301175 | Jonathan E. Hasson, Md, Pa | Surgery | 921 S Long Dr, Suite 208, Rockingham, NC 28379-4874 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670930 | Usa Vein Clinics of Chantilly LLC | Surgery | 3914 Centreville Rd Ste 125, Chantilly, VA 20151-3289 | 2019-07-11 |
| 1285115998 | Sentara Medical Group | Surgery | 397 Little Neck Rd Ste 110, Virginia Beach, VA 23452-5774 | 2018-08-22 |
| 1629586417 | Sentara Medical Group | Surgery | 1051 Loftis Blvd Ste 210, Newport News, VA 23606-3069 | 2018-01-16 |
| 1942724620 | Sentara Medical Group | Surgery | 500 Sentara Cir Ste 100, Williamsburg, VA 23188-5727 | 2017-08-03 |
| 1972980761 | Carlos Jose Torres-medina | Surgery | 500 J Clyde Morris Blvd # 603, Newport News, VA 23601-1929 | 2015-04-30 |
| 1306280128 | Justin Marc Milligan | Surgery | 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 | 2013-04-23 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1346503463 | Mid Atlantic Vascular Holding, LLC | Surgery | 1415 Eastridge Rd, Richmond, VA 23229-5501 | 2012-06-22 |
| 1265791297 | Vascular Surgery Group | Surgery | 850 Chistensen Court, Great Falls, VA 22066 | 2012-05-11 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| Find all providers with the same taxonomy | ||||
| City | ROCKINGHAM |
| Zip Code | 22801 |
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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.