DR. JEFFREY LEE MOORE DPM NPI 1255316915

NPI Information

  • NPI: 1255316915
  • Provider Name: DR. JEFFREY LEE MOORE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 135 N EWING ST
    SUITE 301
    LANCASTER, OH
    ZIP 43130
  • Phone: (740) 654-3668

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NPI Details

DR. Jeffrey Lee Moore, DPM is a foot and ankle surgery podiatrist in Lancaster, OH. DR. Jeffrey Lee Moore, DPM NPI is 1255316915. 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:

135 N EWING ST
SUITE 301
LANCASTER, OH
ZIP 43130-382
Phone: (740) 654-3668
Fax: (740) 654-7528

The NPI 1255316915 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/14/2005 and was last updated on 10/9/2012.

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
1213ES0103XPodiatristFoot & Ankle Surgery36-00-2397-MOHIOYes

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
1T80673MEDICARE UPINOHIO
2480007055MEDICARE PIN
30599664MEDICARE PINOHIO
40654377MEDICAIDOHIO

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: 11/21/2025

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