JONATHAN HOUSTON MOORE (NPI# 1588762223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588762223 |
| Entity Type | Individual |
| Full Name | JONATHAN HOUSTON MOORE |
| Credential | M.D. |
| Practice Address |
2300 12th St Meridian MS 39301-3933 |
| Practice Telephone | 6014832616 |
| Practice Fax Number | 6014857282 |
| Mailing Telephone | 6014832616 |
| Mailing Fax Number | 6014857282 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 17674 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03435769 | 05 | |
| MS | STATE MEDICAL LISCENSE | 17674 | 01 |
| 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 |
| 1780210393 | Jonathan Moore | Physical Therapist | 5154 W Sunset Blvd, Los Angeles, CA 90027-5708 | 2020-03-15 |
| 1104479047 | Jonathan Moore | Urology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2019-07-19 |
| 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 |
2300 12TH ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811423726 | Ciclops Telepathology LLC | Pathology | 2300 12th St, Meridian, MS 39301-3933 | 2017-05-11 |
| 1548380835 | Meridian Ophthalmic Associates, P.a. | Ophthalmology | 2300 12th St, Meridian, MS 39301-3933 | 2007-03-30 |
| 1336247089 | Perry Jay Goodman | Ophthalmology | 2300 12th St, Meridian, MS 39301-3933 | 2006-09-20 |
| 1356449078 | Thurman Keith Everett | Ophthalmology | 2300 12th St, Meridian, MS 39301-3933 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1093071219 | Cassandra White | Ophthalmology | 2720 W Cherry Ln, Meridian, ID 83642-1137 | 2012-04-02 |
| 1336251073 | Treasure Valley Eye Center P A | Ophthalmology | 3045 E St Lukes St # 100, Meridian, ID 83642-3507 | 2006-08-31 |
| 1083656334 | Scott C Simpson | Ophthalmology | 3715 E Overland Road, Suite 250, Meridian, ID 83642 | 2006-06-12 |
| 1548380835 | Meridian Ophthalmic Associates, P.a. | Ophthalmology | 2300 12th St, Meridian, MS 39301-3933 | 2007-03-30 |
| 1255456323 | Retina Consultants of Idaho, Pllc | Ophthalmology | 3715 E Overland Road, Suite 250, Meridian, ID 83642 | 2007-03-20 |
| 1336247089 | Perry Jay Goodman | Ophthalmology | 2300 12th St, Meridian, MS 39301-3933 | 2006-09-20 |
| 1356449078 | Thurman Keith Everett | Ophthalmology | 2300 12th St, Meridian, MS 39301-3933 | 2006-09-20 |
| 1568486884 | John Lawrence Mason Jr. | Ophthalmology | 1301 20th Ave, Meridian, MS 39301-4121 | 2006-07-27 |
| 1649294935 | Don E Marascalco | Ophthalmology | 1301 20th Ave, Meridian, MS 39301-4121 | 2006-07-27 |
| 1881629327 | Mark R Miller | Ophthalmology | 3045 E St Lukes St, Suite 100, Meridian, ID 83642-3507 | 2006-07-12 |
| Find all providers in MERIDIAN | ||||
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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.