Dr. Jonathan M Moore
Podiatrist
234 Goodman St
Cincinnati
, Ohio 45219-2364
Dr. Jonathan M Moore
Podiatrist
234 Goodman St
Cincinnati
, Ohio 45219-2364
(513) 867-4168
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Jonathan M Moore
- 840 Nw Washington Blvd Ste. A
- Hamilton, OH
- Zip : 45013-6384
- Fax : (513) 867-4168
- Phone : (513) 867-4165
Second Address
- Dr. Jonathan M Moore
- 234 Goodman St
- Cincinnati, OH
- Zip : 45219-2364
- Fax : (513) 558-3668
- Phone : (513) 558-3668
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36003490 | OH |
| Y | 222Z00000X | Podiatrist | 36003490 | OH |
National Provider Identifier
| NPI | 1063670602 |
|---|---|
| Provider Name | Dr. Jonathan M Moore |
| First Address | Hamilton, OH 45013-6384 |
| Second Address | Cincinnati, OH 45219-2364 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2008 |
| Last Update Date | 15/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2859741 | (05) | OH |
| P00702222 | RAILROAD MEDICARE (01) | OH |
| P01130203 | RAILROAD MEDICARE PIN (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.