DR. JACOB ROBERT MOORE (NPI# 1750762928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750762928 |
Entity Type | Individual |
Full Name | DR. JACOB ROBERT MOORE |
Credential | M.D. |
Practice Address |
5841 S Maryland Ave Rm L539 Chicago IL 60637-1447 |
Mailing Address |
100 E 14th St Apt 803 Chicago IL 60605-3666 |
Practice Telephone | 7737029500 |
Mailing Telephone | 8159883623 |
Enumeration Date | 2015-06-14 |
Last Update Date | 2015-06-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 125066516 | IL | Allopathic & Osteopathic Physicians |
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 |
1144249277 | Jacob Jackson Moore | Ophthalmology | 900 Morgan Ave, Corpus Christi, TX 78404-2028 | 2006-07-19 |
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 |
1851780928 | Jacob Moore | Physician Assistant | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 | 2015-01-13 |
Street Address |
5841 S MARYLAND AVE RM L539 |
City | CHICAGO |
State | IL |
Zip Code | 60637-1447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831503168 | Ernest Nwachukwu Jr. | Emergency Medicine | 5841 S Maryland Ave Rm L539, Chicago, IL 60637-1447 | 2014-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
Find all providers in zip 60637 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
1639699127 | Eugene David Hill | Emergency Medicine | 1623 N Rockwell St, Chicago, IL 60647-5217 | 2017-06-26 |
1740719905 | Courtney Hutchins | Emergency Medicine | 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 | 2017-06-09 |
1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
Find all providers in CHICAGO |
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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.