JANE ANN MOORE MD NPI 1710936208

NPI Information

NPI: 1710936208
Provider Name: JANE ANN MOORE, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
6002 WESTGATE BLVD
SUITE 160
TACOMA, WA
ZIP 98406
Phone: (253) 759-9902
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Jane Ann Moore, MD is a general practice in Tacoma, WA. Jane Ann Moore, MD NPI is 1710936208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6002 WESTGATE BLVD
SUITE 160
TACOMA, WA
ZIP 98406-571
Phone: (253) 759-9902
Fax: (253) 759-5504

The enumeration date for this NPI number is 5/10/2006 and was last updated on 7/8/2007.

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	208D00000X	General Practice		MD00020608	WASHINGTON	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	AB18255	MEDICARE ID-TYPE UNSPECIFIED
2	M07731	OTHER	WASHINGTON	REGENCE
3	A06050	MEDICARE UPIN
4	1105436	MEDICAID	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

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