Jonathan E Moore, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

00269 Issued in KY

Practice address

117 Tradepark Dr
Somerset, KY 42503-3428

Phone

(606) 679-2773

Fax

(606) 679-4626

NPI assigned

Mar 8, 2006

Last updated

Oct 29, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.moore.1@4399.direct.athenahealth.com

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.

• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  KY

  Medicare reassignment Care Compare group NPD
• Vital Path Care PC

  • Podiatrist
  • Hoover, AL
  • NPI 1619788858

  Foot & Ankle Surgery, KY

  Medicare reassignment Care Compare group NPD
• Cumberland Foot & Ankle Centers

  • Foot & Ankle Surgery Podiatrist
  • Somerset, KY
  • NPI 1093901100
  Medicare reassignment NPD
• Cumberland Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Danville, KY
  • NPI 1871809087
  NPD Authorized official
• Cumberland Foot and Ankle Centers

  • Foot & Ankle Surgery Podiatrist
  • Franklin, KY
  • NPI 1912512724
  NPD Authorized official
• Corbin London Medical Associates

  • Family Medicine Physician
  • Corbin, KY
  • NPI 1689848525
  NPD (past) Authorized official
• Cumberland Foot & Ankle Centers

  • Foot & Ankle Surgery Podiatrist
  • Lexington, KY
  • NPI 1598265993
  Authorized official Same address or phone
• Cumberland Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • London, KY
  • NPI 1023324399
  Authorized official Same address or phone
• Cumberland Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Stanford, KY
  • NPI 1205142411
  Authorized official Same address or phone
• Cumberland Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Williamsburg, KY
  • NPI 1467768747
  Authorized official Same address or phone
• Cumberland Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Russell Springs, KY
  • NPI 1508172701
  Authorized official Same address or phone
• Cumberland Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Whitley City, KY
  • NPI 1528375821
  Authorized official Same address or phone

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

• Family Home Health Care LLC

  dba Adoration Home Health

  • Home Health Agency
  • Columbia, KY
  • NPI 1891765723
  Care Compare affiliation
• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Regional Hospital

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1558339440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 TRADEPARK DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033428",
            "telephone_number": "606-679-2773",
            "fax_number": "606-679-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 TRADEPARK DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033428",
            "telephone_number": "606-679-2773",
            "fax_number": "606-679-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JONATHAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000243",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea A Monge Nissen, PSY.D.
• Jennifer Moody, LPCA
• Brittany Leanne Moore, RD
• Corey Moore, PT, DPT
• Donna Kimberly Moore, OTR/L
• Mary Moore
• Sarah Elizabeth Moore
• Shaylla Moore, DO
• Bethany Woods Moreland
• Morgan Cimala PT PLLC

• Foot & Ankle Surgery Podiatrist in Somerset, KY
• Providers in Somerset, KY by specialty
• Foot & Ankle Surgery Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.