Jason Dewitt Moore (NPI# 1629532734, PAC ID# 6709866528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1629532734 |
| PAC ID by PECOS | 6709866528 |
| Professional Enrollment ID | I20190815001069 |
| Full Name | Jason Dewitt Moore |
| Address |
2111 4th Ave E Williston ND 58801-3526 |
| Phone Number | 7013392297 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 1989 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2111 4th Ave E, Williston, ND 58801-3526 | 7013392297 |
| Street Address |
2111 4TH AVE E |
| City | WILLISTON |
| State | ND |
| Zip | 58801-3526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Richards | Physician Assistant | Neurosurgical and Spinal Surgery Associates PC | 310 Airport Rd, Suite 2000, Williston, ND 58801-2959 |
| Salem Shahin | Urology | Mercy Medical Center | 1219 Knoll St, Williston, ND 58801-3234 |
| Robert G Ceynar | Chiropractic | 2315 2nd Ave W, Ceynar Chiropractic Clinic, Williston, ND 58801-3411 | |
| Kyle Robert Ceynar | Chiropractic | 2315 2nd Ave W, Williston, ND 58801-3411 | |
| Ronald A Wright | Chiropractic | 2204 2nd Ave W, Suite 103, Williston, ND 58801-3485 | |
| Thomas J Kovacs Jr. | Chiropractic | 2304 11th Ave W, 104 Kovacs Dc and Nut Ctr, Williston, ND 58801-3806 | |
| Evonne A Hickok | Nurse Practitioner | Trinity Health | 1321 W Dakota Pkwy, Williston, ND 58801-3807 |
| Karen L Johnson | Certified Registered Nurse Anesthetist (crna) | Trinity Health | 1321 W Dakota Pkwy, Williston, ND 58801-3807 |
| Alison Lynch | Nurse Practitioner | Trinity Health | 1321 W Dakota Pkwy, Williston, ND 58801-3807 |
| Ryan M Siewert | Family Medicine | Trinity Health | 1321 W Dakota Pkwy, Williston, ND 58801-3807 |
| Find all physicians in zip 58801 | |||
| City | WILLISTON |
| Zip Code | 58801 |
| Specialty | CHIROPRACTIC |
| City + Specialty | WILLISTON + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.