Jesse D Moore MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JESSE D MOORE MD

Practice address

Highway 64 East
Augusta, AR 72006

Phone

(870) 347-2568

Fax

(870) 347-2560

NPI assigned

Jul 9, 2006

Last updated

Sep 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesse D Moore

Title

MD

Phone

(870) 347-2568

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1790718906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "72006",
            "telephone_number": "870-347-2568",
            "fax_number": "870-347-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 64 EAST",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "72006",
            "telephone_number": "870-347-2568",
            "fax_number": "870-347-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE D MOORE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "870-347-2568"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra M Hamilton
• Lee Harlan
• Health Resources of Arkansas, Inc.
• Health Resources of Arkansas, Inc.
• Jaymie Frances Hopkins, LCSW
• Andrew Moore, PHARM-D
• Northeast Arkansas Community Mental Health Center Inc (Midsouth Health Systems)
• Rochelle Pace, RN
• Aretha Poindexter
• Amanda Renee Rigsby

• Family Medicine Physician in Augusta, AR
• Providers in Augusta, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.