DR. JACOB JACKSON MOORE (NPI# 1144249277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144249277 |
| Entity Type | Individual |
| Full Name | DR. JACOB JACKSON MOORE |
| Credential | M.D. |
| Practice Address |
900 Morgan Ave Corpus Christi TX 78404-2028 |
| Practice Telephone | 3618884288 |
| Practice Fax Number | 3618884293 |
| Mailing Telephone | 3618884288 |
| Mailing Fax Number | 3618884293 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | M4373 | TX | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 56146 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 182155501 | 05 | |
| TX | NPI | 1144249277 | 01 |
| TX | BCBS | 8W1399 | 01 |
| TX | RR MEDICARE | P00338508 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154617058 | Jacob E Moore | Emergency Medicine | 2326 N Lincoln Park W Apt 4b, Chicago, IL 60614-3446 | 2011-06-20 |
| 1043459175 | Jacob B Moore | Physical Medicine & Rehabilitation | 2707 Stange Road Suite 102, Mcfarland Clinic PC, Ames, IA 50010-3014 | 2009-02-12 |
| 1831719947 | Jacob Ryan Moore | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-04-17 |
| 1497384424 | Jacob Aaron Moore | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-04-02 |
| 1255892287 | Jacob James Moore | Psychiatry & Neurology | 155 N Fresno St, Fresno, CA 93701-2302 | 2019-03-31 |
| 1336644723 | Jacob Clark Moore | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2018-03-27 |
| 1821512179 | Jacob Moore | Specialist/Technologist | 116 Ward Sports Medicine Building, Greenville, NC 27858 | 2017-07-28 |
| 1588027007 | Jacob Moore | Pharmacist | 1745 Quentin Rd, Lebanon, PA 17042-7435 | 2016-04-01 |
| 1750762928 | Jacob Robert Moore | Emergency Medicine | 5841 S Maryland Ave Rm L539, Chicago, IL 60637-1447 | 2015-06-14 |
| 1851780928 | Jacob Moore | Physician Assistant | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 | 2015-01-13 |
| Street Address |
900 MORGAN AVE |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982844858 | Jacob J Moore Md Pa | Ophthalmology | 900 Morgan Ave, Corpus Christi, TX 78404-2028 | 2009-03-04 |
| 1679618607 | Nancy Ann Harrison | Optometrist | 900 Morgan Ave, Corpus Christi, TX 78404-2028 | 2007-02-20 |
| 1235152570 | Jack A Sahadi | Ophthalmology | 900 Morgan Ave, Corpus Christi, TX 78404-2028 | 2006-07-26 |
| 1205857562 | Coastal Bend Eye Center | Optometrist | 900 Morgan Ave, Corpus Christi, TX 78404-2028 | 2006-07-22 |
| 1689695959 | Coastal Bend Ambulatory Surgical Center Inc. | Clinic/Center | 900 Morgan Ave, Corpus Christi, TX 78404-2028 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609200781 | Jose Eliud Fuentes | Ophthalmology | 5533 Ocean Drive, Corpus Christi, TX 78412 | 2013-08-26 |
| 1740587112 | Richard M Bond | Ophthalmology | 6002 S Staples St, Corpus Christi, TX 78413-2902 | 2011-02-22 |
| 1437303906 | Christopher Paul Majka | Ophthalmology | 5721 Esplanade Dr, Corpus Christi, TX 78414-4138 | 2008-11-11 |
| 1932324407 | James Elias Tempesta | Ophthalmology | 646 Moray Pl, Corpus Christi, TX 78411-1925 | 2007-04-17 |
| 1831245356 | Dugan Eye Institute | Ophthalmology | 1333 3rd St, Ste 100, Corpus Christi, TX 78404-2200 | 2007-01-26 |
| 1013024512 | William C Newberry | Ophthalmology | 3301 S Alameda St Ste 403, Corpus Christi, TX 78411-1873 | 2006-08-23 |
| 1891724217 | C. Durham Barnes | Ophthalmology | 5540 Saratoga Blvd Ste 200, Corpus Christi, TX 78413 | 2006-06-30 |
| 1154395705 | Charles H Campbell | Ophthalmology | 5540 Saratoga Blvd, Suite 200, Corpus Christi, TX 78413-2953 | 2006-02-13 |
| 1871575688 | Sanjay Agarwal | Ophthalmology | 5722 Esplanade Dr, Suite 100, Corpus Christi, TX 78414-4227 | 2005-11-17 |
| 1063408458 | John E. Bishop | Ophthalmology | 4707 Everhart Rd, Suite 108, Corpus Christi, TX 78411-2751 | 2005-09-21 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
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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.