DR. JONATHAN MOORE (NPI# 1104479047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104479047 |
Entity Type | Individual |
Full Name | DR. JONATHAN MOORE |
Credential | MD |
Practice Address |
13400 E Shea Blvd Scottsdale AZ 85259-5452 |
Practice Telephone | 4803018000 |
Mailing Telephone | 4803018000 |
Enumeration Date | 2019-07-19 |
Last Update Date | 2020-09-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 57937 | AZ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053826990 | Jonathan Philip Moore | Marriage & Family Therapist | 2670 Memorial Blvd Ste E2, Murfreesboro, TN 37129-5134 | 2017-12-13 |
1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
1982097903 | Jonathan Edward Moore | Reflexologist | 521 Nw 42nd St, Miami, FL 33127-2841 | 2015-03-16 |
1508118233 | Jonathan D Moore | Massage Therapist | 434 E Hill St, Navasota, TX 77868-2428 | 2012-10-04 |
1215103676 | Jonathan J Moore | Rehabilitation Practitioner | 257 S Spring St Apt 2l, Los Angeles, CA 90012-4383 | 2008-05-06 |
1598841322 | Jonathan Ross Moore Sr. | General Practice | 75 S Lafayette St, Mobile, AL 36604-1730 | 2006-10-27 |
1588762223 | Jonathan Houston Moore | Ophthalmology | 2300 12th St, Meridian, MS 39301-3933 | 2006-09-20 |
1780210393 | Jonathan Moore | Physical Therapist | 5154 W Sunset Blvd, Los Angeles, CA 90027-5708 | 2020-03-15 |
1386104321 | Jonathan P Moore | Behavior Technician | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2019-03-25 |
1154816502 | Jonathan Moore | Behavior Technician | 1363 Douglas Dr, Traverse City, MI 49696-8980 | 2018-06-28 |
Street Address |
13400 E SHEA BLVD |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85259-5452 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932104205 | Mark Randall Wallace | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2005-06-14 |
1598365884 | Evelyn Fennelly | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-27 |
1114525755 | Justin Michael Chitel | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-15 |
1437757283 | Daniel Marston Herman | Nurse Anesthetist, Certified Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-10-14 |
1558969436 | Michael Patrick O'shea | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-13 |
1881201655 | Olivia Laurel Baker | Dietitian, Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-09-25 |
1164036729 | Kathleen Alexis Howell Barrus | Genetic Counselor, MS | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-09-01 |
1649889528 | Aditi Mishra | Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-27 |
1316556418 | Laura Ann Schaffer | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
1952910077 | Sarah Elizabeth Rebey | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
1437647237 | Meier Clinics of California, Inc. | Counselor | 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 | 2018-04-26 |
1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
1063964864 | Med Ride | Taxi | 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 | 2016-10-27 |
1639593759 | Dental Associates for Kids Only | Dentist | 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 | 2014-02-10 |
1750712725 | Sharon Nyquist | Nurse Practitioner | 13400 E Shea Blvd., Scottsdale, AZ 85259 | 2013-12-02 |
1598107070 | Wen D Tan | Physician Assistant | 13400 E. Shea Blvd, Scottsdale, AZ 85259 | 2013-07-24 |
1417295809 | Kristen L. Schaefer | Physician Assistant | 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 | 2013-01-21 |
1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
1346590536 | Mairead Doherty | Internal Medicine | 13400 E. Shea Blvd., Scottsdale, AZ 85259 | 2012-09-14 |
Find all providers in zip 85259 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245831379 | Thayne R Larson | Urology | 11900 N 102nd St, Scottsdale, AZ 85260-5928 | 2020-11-04 |
1659780583 | Wilfred Morris Potter | Urology | 10801 E. Happy Valley Road, #74, Scottsdale, AZ 85255 | 2014-08-05 |
1235556556 | Boston Medical Group Arizona, P.C. | Urology | 14500 N. Northsight Blvd., Suite 209, Scottsdale, AZ 85260 | 2014-03-25 |
1699008524 | Stephen Fortunoff | Urology | 7740 East Black Mountain Rd, Scottsdale, AZ 85266 | 2009-09-10 |
1740426485 | Arizona Urology Specialists, Pllc | Urology | 10301 N 92nd St Ste 101, Scottsdale, AZ 85258-4506 | 2008-12-31 |
1023220712 | Norbert L Dugan | Urology | 8101 E Buena Terra Way, Scottsdale, AZ 85250-6608 | 2007-05-04 |
1659410785 | David Michael Kelsey | Urology | 8502 N 84th St, Scottsdale, AZ 85258-2493 | 2007-02-05 |
1255371357 | Ian L Goldman | Urology | 10198 E Winter Sun Dr, Scottsdale, AZ 85262-3105 | 2006-06-07 |
1174503478 | Bernard Michael Gburek | Urology | 20401 N 73rd St Ste 105, Scottsdale, AZ 85255-4146 | 2006-01-20 |
1629696794 | Nathaniel Walter Oswald | Urology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-07-06 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85259 |
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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.