Jonathan Houston Moore, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17674 Issued in MS

Practice address

2300 12TH St
Meridian, MS 39301-3933

Phone

(601) 483-2616

Fax

(601) 485-7282

NPI assigned

Sep 20, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Mississippi School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meridian Ophthalmic Associates, P.a.Group PAC ID 4789659772, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

Merit-based Incentive Payment System (MIPS)

Final score

86.96 of 100Reported as group

Quality

86.98

Improvement activities

40

Cost

73.9

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: moorej@meridianophthalmic.updoxdirect.com

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.

• Meridian Ophthalmic Associates, P.a.

  • Ophthalmology Physician
  • Meridian, MS
  • NPI 1548380835
  Medicare reassignment Care Compare group NPD
• Ciclops Telepathology LLC

  dba The Skin Cancer Clinic

  • Anatomic Pathology & Clinical Pathology Physician
  • Meridian, MS
  • NPI 1811423726
  NPD (past)

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

• Anderson Regional Medical Center

  dba Baptist Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588762223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013933",
            "telephone_number": "601-483-2616",
            "fax_number": "601-485-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013933",
            "telephone_number": "601-483-2616",
            "fax_number": "601-485-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JONATHAN",
        "middle_name": "HOUSTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "17674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LISCENSE",
            "identifier": "17674",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03435769",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson Kale Monsour, MS, RD, LD
• Kayla Lee Monsour, PHARMD
• Derrick Monterey Moore Sr.
• Dorothy M Moore, HOMEMAKER
• Jennifer Ashley Moore, PHARMD
• Kari Moore, FNP
• Mark Moore, CFNP
• Mark Wayne Moore, D.M.D.
• Michaela L. Moore, NP
• Natalie Moore, LMT

• Ophthalmology Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.