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OMAR JISHI MOORE M.D. NPI 1487072245


NPI Information

NPI: 1487072245
Provider Name: OMAR JISHI MOORE, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
841 PRUDENTIAL DR FL 10
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 398-5404
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Omar Jishi Moore, M.D. is a neurology psychiatry neurology in Jacksonville, FL with 10 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Omar Jishi Moore, M.D. NPI is 1487072245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

841 PRUDENTIAL DR FL 10
JACKSONVILLE, FL
ZIP 32207-329
Phone: (904) 398-5404
Fax: (904) 391-5545

The NPI 1487072245 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), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Continuous measurement of brain wave activity with video (veeg), 12-26 hours, with health care professional analysis, interpretation and report (HCPCS:95720)
  • Measurement and recording of brain wave (eeg) activity, awake and asleep (HCPCS:95819)
  • Measurement and recording of brain wave (eeg) activity, awake and drowsy (HCPCS:95816)

The enumeration date for this NPI number is 3/30/2014 and was last updated on 4/25/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyT9017TEXASNo
22084N0400XPsychiatry & NeurologyNeurology92255GEORGIANo
32084N0400XPsychiatry & NeurologyNeurology036146539ILLINOISNo
42084N0400XPsychiatry & NeurologyNeurology44297ALABAMANo
52084N0400XPsychiatry & NeurologyNeurologyMD-49933IOWANo
62084N0400XPsychiatry & NeurologyNeurology01090166AINDIANANo
72084N0400XPsychiatry & NeurologyNeurology04-46192KANSASNo
82084N0400XPsychiatry & NeurologyNeurologyC0733KENTUCKYNo
92084N0400XPsychiatry & NeurologyNeurology330900LOUISIANANo
102084N0400XPsychiatry & NeurologyNeurologyEMC0001993MICHIGANNo
112084N0400XPsychiatry & NeurologyNeurology2023017851MISSOURINo
122084N0400XPsychiatry & NeurologyNeurology30235MISSISSIPPINo
132084N0400XPsychiatry & NeurologyNeurology2021-01752NORTH CAROLINANo
142084N0600XPsychiatry & NeurologyClinical NeurophysiologyME13426FLORIDANo
152084N0400XPsychiatry & NeurologyNeurologyME134726FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.