Jonathan Moore, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

120596 Issued in PA

Practice address

320 E North Ave
Pittsburgh, PA 15212-4756

Phone

(412) 359-3155

Fax

(412) 359-3483

NPI assigned

Nov 17, 2017

Last updated

Nov 16, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Nomadic Anesthesia Professionals PLLCGroup PAC ID 5294248431, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046
  Medicare reassignment Care Compare group NPD
• Nomadic Anesthesia Professionals PLLC

  • Anesthesiology Physician
  • Wexford, PA
  • NPI 1487462735
  Medicare reassignment Care Compare group NPD
• Allegheny Clinic

  dba AHN-Primary Care Bethel Park

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• Allegheny Clinic

  dba AHN Primary Care Mobile Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Allegheny Clinic

  dba Allegheny General Anesthesia

  • Anesthesiology Physician
  • Pittsburgh, PA
  • NPI 1558310326
  NPD
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD
• Butler Medical Providers

  dba BHS Wound Care Associates

  • Surgery Physician
  • Butler, PA
  • NPI 1518307982
  NPD
• University of Pittsburgh Physicians

  dba UPP Department of Anesthesiology

  • Anesthesiology Physician
  • Pittsburgh, PA
  • NPI 1033125455
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD

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

• Butler Healthcare Providers

  dba Butler Memorial Hospital

  • General Acute Care Hospital
  • Butler, PA
  • NPI 1447317896
  Care Compare affiliation
• Butler Healthcare Providers

  • Ambulatory Surgical Clinic/Center
  • Butler, PA
  • NPI 1558428573

  Hospital

  Care Compare affiliation
• Butler Memorial Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Butler, PA
  • NPI 1821162314
  Care Compare affiliation

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1437663135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3155",
            "fax_number": "412-359-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3155",
            "fax_number": "412-359-3483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16934 Parkway",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "43920",
            "country_code": "US",
            "telephone_number": "330-831-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JONATHAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN645884",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "120596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoore155494@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Moore
• Forrest Moore, PHARMD
• Frank Moore, MSW, LCSW
• Hope Moore
• Jason Moore, MD, MS
• Joseph Moore, MCR
• Julia E Moore, CRNP
• Katherine Moore
• Kelly Marie Moore, ART-BC, LPC
• Kimberly Moore, DDS

• Certified Registered Nurse Anesthetist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.