JORDAN RUSSELL MOORE (NPI# 1821651571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821651571 |
Entity Type | Individual |
Full Name | JORDAN RUSSELL MOORE |
Practice Address |
206 S Mulberry St Mount Vernon OH 43050-3331 |
Practice Telephone | 7403993008 |
Mailing Telephone | 7403993008 |
Enumeration Date | 2019-04-18 |
Last Update Date | 2019-08-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.025092 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | STATE LICENSE NUMBER | APRN.CNP.025092 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
207 W High St, Mount Vernon, OH 430502427 | 7403921181 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356952337 | Jordan Dru Moore | Speech-Language Pathologist | 2709 Francisco St Unit B, Austin, TX 78702-3920 | 2020-08-12 |
1134767312 | Jordan David Moore | Specialist/Technologist | Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482 | 2019-12-18 |
1295387660 | Jordan William Moore | Chiropractor | 7921 Tanner Williams Rd Ste B, Mobile, AL 36608-8303 | 2019-07-15 |
1164980801 | Jordan Moore | Student in an Organized Health Care Education/Training Program | 800 Galloway Drive, Hammond, LA 70402-0001 | 2019-03-12 |
1255826111 | Jordan Moore | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
1124522834 | Jordan Alexander Moore | Technician, Pathology | 4032 Knollbrook Dr Nw, Huntsville, AL 35810-1832 | 2018-03-19 |
1134673577 | Jordan Robert Moore | Pharmacist | 202 Becker St, Danville, PA 17821-1180 | 2016-08-14 |
1013992619 | Jordan A Moore | Dermatology | 121 E Silver Spring Dr, Whitefish Bay, WI 53217-4702 | 2005-12-07 |
1609425743 | Jordan Moore | Behavior Technician | 418b W Mountain St, Kernersville, NC 27284-2534 | 2019-09-11 |
1215583091 | Jordan Moore | Case Manager/Care Coordinator | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2019-08-16 |
Street Address |
206 S MULBERRY ST |
City | MOUNT VERNON |
State | OH |
Zip Code | 43050-3331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144261520 | Richard B. Ogle Do Inc | Family Medicine | 206 S Mulberry St, Mount Vernon, OH 43050-3331 | 2006-06-09 |
1336487081 | Simona L Moore Cnp LLC | Nurse Practitioner | 206 S Mulberry St, Mount Vernon, OH 43050-3331 | 2013-01-30 |
1518260389 | Mount Vernon Dental-richard M. Sprang, Dds, LLC | Dentist | 206 S Mulberry St, Mount Vernon, OH 43050-3331 | 2010-12-16 |
1215063631 | Ogle Family Practice | Neuromusculoskeletal Medicine, Sports Medicine | 206 S Mulberry St, Suite B, Mount Vernon, OH 43050-3331 | 2007-02-27 |
1821029729 | Jennifer F Ogle | Family Medicine | 206 S Mulberry St, Suite B, Mount Vernon, OH 43050-3331 | 2006-07-06 |
1689606451 | Brent Burton Ogle | Family Medicine | 206 S Mulberry St, Suite B, Mount Vernon, OH 43050-3331 | 2006-07-06 |
1679502181 | Simona Lydia Moore | Nurse Practitioner | 206 S Mulberry St, Mount Vernon, OH 43050-3331 | 2006-06-30 |
1114961117 | Richard B Ogle | Family Medicine | 206 S Mulberry St, Mount Vernon, OH 43050-3331 | 2006-06-16 |
1972544757 | Ogle Family Practice | Family Medicine | 206 S Mulberry St, Mount Vernon, OH 43050-3331 | 2006-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
Find all providers in zip 43050 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003421066 | Amantha Theodore | Nurse Practitioner | 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 | 2020-09-15 |
1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
1154969103 | Sarah Jacqueline Lim-dwyer | Nurse Practitioner | 1400 East Kincaid Street, Mount Vernon, WA 98274-4127 | 2019-12-19 |
1306481056 | Julie Marie Forbes-laborde | Nurse Practitioner | 27 Beekman Ave Apt 2, Mount Vernon, NY 10553-1491 | 2019-11-15 |
1447819305 | Gladys E Aideyan | Nurse Practitioner | 130 Stuyvesant Plz, Mount Vernon, NY 10552-1413 | 2019-06-13 |
1417467929 | Shernette T Suer | Nurse Practitioner | 105 Stevens Ave Ste 506, Mount Vernon, NY 10550-2683 | 2017-10-10 |
1194254946 | Amy Haibel | Nurse Practitioner | 206 S Mulberry St Ste B, Mount Vernon, OH 43050-3331 | 2017-06-06 |
1699216697 | Diana Mcnear | Nurse Practitioner | 421 S 3rd Ave, Mount Vernon, NY 10550-4507 | 2017-03-10 |
1598200867 | Vivienne Iona Bartley | Nurse Practitioner | 115 Primrose Avenue, Mount Vernon, NY 10552 | 2016-12-22 |
1144772955 | Tahiesha Tolbert | Nurse Practitioner | 153 Stevens Ave Ste 4, Mount Vernon, NY 10550-2543 | 2016-10-27 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 43050 |
Please comment or provide details below to improve the information on JORDAN RUSSELL 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.