S.Jason Moore, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2029 Issued in CO

Practice address

181 W Meadow Dr
Vail, CO 81657-5242

Phone

(970) 479-5036

Fax

(970) 569-7453

NPI assigned

Mar 26, 2007

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

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wheatland Memorial HealthcareGroup PAC ID 3375451370, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wheatland Memorial Hospital Hospital, Harlowton, MT, CCN 271321
• Wheatland Memorial Hospital Nursing home, CCN 27Z321

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Wheatland Memorial Healthcare

  • Rural Health Clinic/Center
  • Harlowton, MT
  • NPI 1235204538
  Medicare reassignment Care Compare group NPD
• Townsend Health Systems, Inc.

  • Critical Access Hospital
  • Townsend, MT
  • NPI 1447245857
  Medicare reassignment
• Wheatland Memorial Healthcare

  • Critical Access Hospital
  • Harlowton, MT
  • NPI 1073687406
  NPD
• Vail Clinic, Inc.

  • Specialist
  • Keystone, CO
  • NPI 1386725406
  NPD (past)
• Vail Clinic, Inc.

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  NPD (past)
• VVMC Diversified Services

  • Specialist
  • Edwards, CO
  • NPI 1730279712
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wheatland Memorial Healthcare

  • Critical Access Hospital
  • Harlowton, MT
  • NPI 1073687406
  Care Compare affiliation
• Wheatland Memorial Healthcare

  • Medicare Defined Swing Bed Hospital Unit
  • Harlowton, MT
  • NPI 1265507172

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1356468979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270596",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800275009",
            "telephone_number": "970-569-7478",
            "fax_number": "970-569-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575242",
            "telephone_number": "970-479-5036",
            "fax_number": "970-569-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "S.JASON",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Frances Milliet, DPT
• Jenny Elizabeth Mistretta, PA-C
• Ryan J Molzon, ATC
• Joe E. Monk, MD
• Scott R Montgomery, M.D.
• Allison Morgan
• Susanna Morgan, OTR
• Matthew Vincent Morris, PT, DPT, OCS
• Justin Michael Moses, DMD
• Mountain Revival Vail, LLC

• Surgical Physician Assistant in Vail, CO
• Providers in Vail, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.