JANE ALICE MOORE (NPI# 1659912434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659912434 |
| Entity Type | Individual |
| Full Name | JANE ALICE MOORE |
| Credential | PA |
| Practice Address |
1220 Missouri Ave Jeffersonville IN 47130-3725 |
| Mailing Address |
2017 Eastern Pkwy Apt 4 Louisville KY 40204-1426 |
| Practice Telephone | 8122826631 |
| Mailing Telephone | 6155592063 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10002810A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | STATE LICENSE | 10002810A | 01 |
| Street Address |
1220 MISSOURI AVE |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134186315 | Rhn Clark Memorial Hospital LLC | General Acute Care Hospital | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2006-04-29 |
| 1992312862 | Wall Street Medical Group Inpatient Services LLC | Nurse Practitioner | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2020-09-25 |
| 1700400181 | Jonathan Foushee | Pharmacist | 1220 Missouri Ave, Jeffersonville, IN 47130-3743 | 2020-06-02 |
| 1649809054 | Jazz Ayotte | Physician Assistant | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2020-04-07 |
| 1265082697 | Shem Carlo Banda | Emergency Medicine | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2019-09-17 |
| 1942775879 | Emergency Medicine Physicians Associates PC | Physician Assistant | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2018-10-08 |
| 1316397235 | Sara Elizabeth Harris | Pharmacist | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2016-06-22 |
| 1528420304 | Ryan King | Emergency Medicine | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2016-03-22 |
| 1821482084 | Scott Mcclain | Emergency Medicine | 1220 Missouri Ave, Jeffersonville, IN 47130 | 2015-03-26 |
| 1730573387 | James Allen Stone Jr. | Emergency Medicine | 1220 Missouri Ave, Jeffersonville, IN 47130 | 2015-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720553241 | Elyse Marie Wright | Physician Assistant | 73 Quartermaster Ct, Jeffersonville, IN 47130 | 2018-10-11 |
| 1942775879 | Emergency Medicine Physicians Associates PC | Physician Assistant | 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019289 | Timothy Jeffirs | Physician Assistant | 10662 12th Rd, Argos, IN 46501-9551 | 2020-10-01 |
| 1093321788 | April Marie Przyborski | Physician Assistant | 1701 S Creasy Ln Ste 2j20, Lafayette, IN 47905-4972 | 2020-09-18 |
| 1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
| 1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
| 1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
| 1366003154 | Jimmy Garala | Physician Assistant | 101 E 87th Ave Fl A3, Merrillville, IN 46410-7335 | 2019-06-24 |
| 1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
| 1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
| 1225518228 | Jie Xu | Physician Assistant | 2072 E Commercial Ave, Lowell, IN 46356-2116 | 2018-08-19 |
| 1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
Please comment or provide details below to improve the information on JANE ALICE MOORE.
| 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.