DR. JACOB ROBERT MOORE


Address: 5841 S Maryland Ave Rm L539, Chicago, IL 60637-1447
Phone: 7737029500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 125066516 IL Allopathic & Osteopathic Physicians

Other Providers JACOB MOORE

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

Office Location

Street Address 5841 S MARYLAND AVE RM L539
City CHICAGO
State IL
Zip Code 60637-1447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831503168 Ernest Nwachukwu Jr. Emergency Medicine 5841 S Maryland Ave Rm L539, Chicago, IL 60637-1447 2014-06-14

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CHICAGO
Zip Code 60637

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Dataset Information

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.

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