DR. JOHN PEASE MOORE M.D. NPI 1619973971

NPI Information

NPI: 1619973971
Provider Name: DR. JOHN PEASE MOORE, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2595 NEEDMORE RD
DAYTON, OH
ZIP 45414
Phone: (937) 277-3442
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DR. John Pease Moore, M.D. is a specialist in Dayton, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. John Pease Moore, M.D. NPI is 1619973971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2595 NEEDMORE RD
DAYTON, OH
ZIP 45414-203
Phone: (937) 277-3442
Fax: (937) 277-2943

The enumeration date for this NPI number is 6/22/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		35-069259	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G67261	MEDICARE UPIN	OHIO
2	9317711	MEDICARE ID-TYPE UNSPECIFIED	OHIO	GROUP
3	2245421	MEDICAID	OHIO
4	2047225	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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