Jeffrey D Moore
Orthopaedic Surgeon
860 Omni Blvd Suite #203
Newport News
, Virginia 23606-4237
Jeffrey D Moore
Orthopaedic Surgeon
860 Omni Blvd Suite #203
Newport News
, Virginia 23606-4237
(757) 232-8866
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Jeffrey D Moore
- 860 Omni Blvd Suite 303
- Newport News, VA
- Zip : 23606-4430
- Fax : (757) 232-8866
- Phone : (757) 232-8777
Second Address
- Jeffrey D Moore
- 860 Omni Blvd Suite #203
- Newport News, VA
- Zip : 23606-4237
- Fax : (757) 327-0658
- Phone : (757) 327-0657
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 0101040065 | VA |
National Provider Identifier
| NPI | 1023099702 |
|---|---|
| Provider Name | Jeffrey D Moore |
| First Address | Newport News, VA 23606-4430 |
| Second Address | Newport News, VA 23606-4237 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2005 |
| Last Update Date | 18/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010195446 | (05) | VA |
| 1820272 | ANTHEM (01) | VA |
| 186495 | ANTHEM (01) | VA |
| E42219 | (02) | VA |
| P00294853 | RR/MEDICARE (01) |
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.