Jeffrey Lee Moore, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-053478 Issued in OH

Practice address

400 Wabash Ave
Akron, OH 44307-2433

Phone

(330) 344-6525

Fax

(330) 996-2943

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Akron Psychiatry, Inc

  • Psychiatry Physician
  • Akron, OH
  • NPI 1598742660

  Psychiatry

  NPD (past) Authorized official
• Partners Physician Group

  • Internal Medicine Physician
  • Akron, OH
  • NPI 1033376892
  NPD (past)
• Partners Physician Group

  • Physical Medicine & Rehabilitation Physician
  • Akron, OH
  • NPI 1124283411
  NPD (past)
• Partners Physician Group

  • Cardiovascular Disease Physician
  • Akron, OH
  • NPI 1144538166
  NPD (past)
• Partners Physician Group

  • Family Medicine Physician
  • Akron, OH
  • NPI 1306885793
  NPD (past)
• Partners Physician Group

  • Cardiovascular Disease Physician
  • Akron, OH
  • NPI 1326356346
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1124005210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 W MARKET ST",
            "address_2": "STE 103",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333339",
            "telephone_number": "330-344-3583",
            "fax_number": "330-869-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WABASH AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072433",
            "telephone_number": "330-344-6525",
            "fax_number": "330-996-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-053478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0628744",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE LOCATION NPI GROUP NUMBER",
            "identifier": "1144401464",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "2774985",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI GROUP NUMBER",
            "identifier": "1841239274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamond Moore
• Dionne M Moore
• Ericka Moore, DO
• Felicia Dejuan Moore
• Jasmine Marie Moore
• Jennifer Moore, APRN, FNP-C
• Jessica M Moore
• Jessica Patrice Moore
• Justin Derrick Moore, M.D.
• Kathleen Moore, CNP

• All providers in Akron, OH
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.