M. Jane Moore, MD. LLC.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

952570 Issued in AK

Legal business name

M. JANE MOORE, MD. LLC.

Practice address

3260 Providence Dr Ste 526
Anchorage, AK 99508-4608

Phone

(907) 569-3600

Fax

(907) 569-3200

NPI assigned

Feb 25, 2011

Organization subpart

No

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

Authorized official

Name

Jill M Carroll

Title

Office Manager

Phone

(907) 569-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha Jane Moore, MD-MPH

  • Addiction Medicine (Family Medicine) Physician
  • Wasilla, AK
  • NPI 1053418921
  NPD (past)

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1609173798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR. STE 526",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084608",
            "telephone_number": "907-569-3600",
            "fax_number": "907-569-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR STE 526",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084608",
            "telephone_number": "907-569-3600",
            "fax_number": "907-569-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. JANE MOORE, MD. LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-569-3600"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AK",
            "license": "952570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD8920",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonika L Lyons, LPN
• Sarah Helen Lyrata, DPT
• Hannah Lysne
• Jamie L Lytton, PA-C
• M-Care Assisted Living Home
• M.G.D. Assisted Living Home
• M&M Assisted Living Home
• M&M Initiatives, LLC
• M&P Psychiatry Group LLC
• Norman Ma, PHARMD

• Primary Care Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Primary Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.