Jason Lee Moore (NPI# 1720049109, PAC ID# 8224077144) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1720049109 |
| PAC ID by PECOS | 8224077144 |
| Professional Enrollment ID | I20120227000122 |
| Full Name | Jason Lee Moore |
| Organization Legal Name | IOWA EMERGENCY SERVICES LLC |
| Address |
1410 N 4th St Clinton IA 52732-2940 |
| Phone Number | 5632445555 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 2002 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3678837580 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160080 | MERCY MEDICAL CENTER-CLINTON |
| 240044 | WINONA HEALTH SERVICES |
| 230024 | SINAI-GRACE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1410 N 4th St, Clinton, IA 52732-2940 | 5632445555 | IOWA EMERGENCY SERVICES LLC |
| Organization Legal Name | IOWA EMERGENCY SERVICES LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Foit | Nurse Practitioner | Iowa Emergency Services LLC | 1410 N 4th St, Clinton, IA 52732-2940 |
| Mohammad Masud Hassan | Family Medicine | Iowa Emergency Services LLC | 1410 N 4th St, Clinton, IA 52732-2940 |
| Ewa Kalinowska | Emergency Medicine | Iowa Emergency Services LLC | 1410 N 4th St, Clinton, IA 52732-2940 |
| Manoj Sreedharan | Family Medicine | Iowa Emergency Services LLC | 1410 N 4th St, Clinton, IA 52732-2940 |
| David F Kavanaugh | Emergency Medicine | Iowa Emergency Services LLC | 1410 N 4th St, Clinton, IA 52732-2940 |
| Street Address |
1410 N 4TH ST |
| City | CLINTON |
| State | IA |
| Zip | 52732-2940 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billie L Tack | Nurse Practitioner | Mercy Specialty Clinic | 1410 N 4th St, Clinton, IA 52732-2940 |
| Dorothy J Anderson | Nurse Practitioner | Mercy Specialty Clinic | 1410 N 4th St, Clinton, IA 52732-2940 |
| Suheil I Barakat | Internal Medicine | Mercy Specialty Clinic | 1410 N 4th St, Clinton, IA 52732-2940 |
| Amanda L Foit | Nurse Practitioner | Iowa Emergency Services LLC | 1410 N 4th St, Clinton, IA 52732-2940 |
| Sharon L Marguglio | Nurse Practitioner | Mercy Specialty Clinic | 1410 N 4th St, Clinton, IA 52732-2940 |
| Linda Garcia | Physician Assistant | Mercy Specialty Clinic | 1410 N 4th St, Clinton, IA 52732-2940 |
| Charles Parker | Otolaryngology | Mercy Specialty Clinic | 1410 N 4th St, Clinton, IA 52732-2940 |
| Brandy M Stinson | Certified Registered Nurse Anesthetist (crna) | Mercy Clinton Anesthesia Group, LLC | 1410 N 4th St, Clinton, IA 52732-2940 |
| Laura B Thayer | Physician Assistant | Mercy Specialty Clinic | 1410 N 4th St, Clinton, IA 52732-2940 |
| James W Dennert | Psychiatry | Mercy Specialty Clinic | 1410 N 4th St, Clinton, IA 52732-2940 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan P Connell | Chiropractic | 1485 Main Ave, Clinton, IA 52732-1976 | |
| Donald G Flory | Family Practice | Medical Associates of Clinton Iowa Plc | 2400 Lillian Way, Clinton, IA 52732-2001 |
| Elliot M Galey | Family Medicine | Genesis Health System | 221 Main Ave, Clinton, IA 52732-2241 |
| Richard B Forrest | Chiropractic | Ruden- Forrest Chiropractic PC | 80 23rd Ave N, Clinton, IA 52732-2401 |
| Thea M Ruden | Chiropractic | Ruden- Forrest Chiropractic PC | 80 23rd Ave N, Clinton, IA 52732-2401 |
| Carl W Soderstrom Jr. | Dermatology | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Carissa L Pardekooper | Physician Assistant | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Joy M Watson | Physician Assistant | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Katherine E Shindelar | Physician Assistant | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Meriner M Pereira | Dermatology | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Find all physicians in zip 52732 | |||
| City | CLINTON |
| Zip Code | 52732 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CLINTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jason Lee Moore.
| 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.