JASON WAYNE MOORE (NPI# 1740511716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740511716 |
| Entity Type | Individual |
| Full Name | JASON WAYNE MOORE |
| Credential | ATC |
| Practice Address |
3047 William St Suite 100 Cape Girardeau MO 63703-6393 |
| Mailing Address |
501 Dearborn St Scott City MO 63780-2306 |
| Practice Telephone | 5733395989 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2009029675 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
3047 WILLIAM ST SUITE 100 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-6393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639143357 | Mid America Rehab, P.C. | Occupational Therapist | 3047 William St, Cape Girardeau, MO 63703-6393 | 2006-02-17 |
| 1922647866 | Melinna Christine Craft | Physical Therapist | 3047 William St, Cape Girardeau, MO 63703-6393 | 2019-12-23 |
| 1396158572 | Jerimy Obergoenner | Physical Therapy Assistant | 3047 William St, Suite 100, Cape Girardeau, MO 63703-6393 | 2014-06-05 |
| 1205108289 | Brittany Danielle Williams | Physical Therapy Assistant | 3047 William St, Suite 100, Cape Girardeau, MO 63703-6393 | 2012-02-06 |
| 1720106644 | Charlene Rottler | Occupational Therapy Assistant | 3047 William St, Cape Girardeau, MO 63703-6393 | 2007-03-27 |
| 1467586677 | Kirt Michael Burger | Physical Therapist | 3047 William St, Cape Girardeau, MO 63703 | 2007-03-16 |
| 1962535054 | Matthew Wayne Holder | Specialist/Technologist | 3047 William St, Cape Girardeau, MO 63703-6393 | 2007-03-14 |
| 1073646170 | Robert Wayne Sherrill | Physical Therapist | 3047 William St, Cape Girardeau, MO 63703-6393 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790090 | Brock O'neal | Specialist/Technologist | 1573 Saratoga St, Cape Girardeau, MO 63701-2535 | 2020-04-27 |
| 1811530496 | Callie Hefner | Specialist/Technologist | 1710 N Sprigg St, Cape Girardeau, MO 63701-2720 | 2019-10-25 |
| 1720635014 | Jessica Austin | Specialist/Technologist | 518 S Fountain St, Cape Girardeau, MO 63703-7410 | 2019-08-21 |
| 1699233072 | Rylie M Murray | Specialist/Technologist | 1 University Plz # Ms 7650, Cape Girardeau, MO 63701-4710 | 2019-03-05 |
| 1346735016 | Allison Ayers | Specialist/Technologist | 1112 Bertling St Apt 722, Cape Girardeau, MO 63701-3077 | 2018-06-26 |
| 1013142900 | Daniel K Halley | Specialist/Technologist | 3049 William Street, Suite 152, Cape Girardeau, MO 63701 | 2009-05-20 |
| 1730360678 | Benjmin Michael Fox | Specialist/Technologist | 1 University Plz # Ms 7000, Cape Girardeau, MO 63701-4710 | 2007-11-20 |
| 1679552319 | Robert Dean Hunt IIi | Specialist/Technologist | 1 University Plz, Ms 7000, Cape Girardeau, MO 63701-4710 | 2006-01-11 |
| 1689217994 | Meghan Angela Isenman | Specialist/Technologist | 1 University Plz, Cape Girardeau, MO 63701-4710 | 2019-10-21 |
| 1124661434 | Samantha Nicole Thienes | Specialist/Technologist | 1 University Plz, Cape Girardeau, MO 63701-4710 | 2019-10-21 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on JASON WAYNE 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.