JERRY W MOORE MD NPI 1588640569

NPI Information

  • NPI: 1588640569
  • Provider Name: JERRY W MOORE, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 1246 ASHLAND AVE
    STE 107
    ZANESVILLE, OH
    ZIP 43701
  • Phone: (740) 454-7725

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NPI Details

Jerry W Moore, MD is a cardiovascular disease internal medicine in Zanesville, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jerry W Moore, MD NPI is 1588640569. 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:

1246 ASHLAND AVE
STE 107
ZANESVILLE, OH
ZIP 43701
Phone: (740) 454-7725
Fax: (740) 454-7728

The enumeration date for this NPI number is 12/21/2005 and was last updated on 2/8/2011.

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
1207RC0000XInternal MedicineCardiovascular Disease35043340MOHIOYes

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
14280781MEDICARE PINOHIO
2A76374MEDICARE UPIN
30426239MEDICAIDOHIO
4MO0437415MEDICARE PINOHIO

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: 3/30/2025

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