Cardiovascular Institute of Jacksonville P a

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME86388 Issued in FL

Legal business name

CARDIOVASCULAR INSTITUTE OF JACKSONVILLE P A

Doing business as

Cardiojax

Practice address

1406 Ridgetree Trails Dr
Wildwood, MO 63021-5930

Phone

(904) 998-7747

NPI assigned

May 16, 2008

Last updated

Dec 18, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Andrew Moore, MD

Title

President

Phone

(904) 998-7747

Specialties & licenses 1

Addresses

Other names 1

• Cardiojax Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martha Lynn Moore, M.D.

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1194871616
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1104083351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 RIDGETREE TRAILS DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630215930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 RIDGETREE TRAILS DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630215930",
            "telephone_number": "904-998-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR INSTITUTE OF JACKSONVILLE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-998-7747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME86388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiojax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Rae Buesse, MA, LPC
• Lisa C Burns, MD
• Taylor Hamilton Bushnell, DPT
• Kathleen M Cabiedes, RN
• Bryan James Cannon, MD
• Caretenders Visiting Services of St. Louis, LLC
• Michael J Carney, MD
• Katherine Carvalho, BCBA
• Michelle Caulk, PHD, LMHC, LPC,
• Charic Dr Healthcare LLC (Aegis Health and Rehabilitation)

• Interventional Cardiology Physician in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Interventional Cardiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.