Jay Winston Moore, PH.D., FACMG

Primary specialty

Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X

License

DI38149 Issued in FL

Practice address

10421 University Center Dr
Ste. 100
Tampa, FL 33612-6427

Phone

(813) 615-4362

Fax

(813) 972-4632

NPI assigned

Sep 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Genzyme Corporation

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1497715288
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1245425982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 UNIVERSITY CENTER DR",
            "address_2": "STE. 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126427",
            "telephone_number": "813-615-4362",
            "fax_number": "813-972-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 UNIVERSITY CENTER DR",
            "address_2": "STE. 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126427",
            "telephone_number": "813-615-4362",
            "fax_number": "813-972-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JAY",
        "middle_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "PH.D., FACMG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "FL",
            "license": "DI38149",
            "primary": true
        },
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "NY",
            "license": "MOORJ1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Moore, LMT
• Holly Ann Moore
• Janel Nicole Moore, APRN
• Jared Dylan Moore, FNP-BC
• Jason Michael Moore, D.M.D.
• Jerrica Chambers Moore, PA-C
• Joanne Marie Moore
• Jonette Rae Moore, ARNP
• Joyce Marie Moore, APRN, FNP-C
• Kelly Moore, APRN

• Clinical Cytogenetics Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Cytogenetics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.