Jordan A Moore in Whitefish Bay - Dermatology
Jordan A Moore - NPI 1013992619
Jordan A Moore is a Dermatology in Whitefish Bay, Wisconsin. Jordan A Moore practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jordan A Moore is 1013992619. The last update date is 2016-02-18.
Jordan A Moore's current location address is 121 E Silver Spring Dr, Whitefish Bay, Wisconsin. You can contact this provider via phone number 4149649030. The mailing address for Jordan A Moore is 121 E Silver Spring Dr, Whitefish Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan A Moore |
|---|---|
| Address | 121 E Silver Spring Dr, Whitefish Bay, Wisconsin |
| Phone Number | 4149649030 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013992619 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2016-02-18 |
Provider Mailing Address Detail
| Address | 121 E Silver Spring Dr |
|---|---|
| City | Whitefish Bay |
| State | Wisconsin (WI) |
| Post Code | 532174702 |
| Phone Number | 4149649030 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 26687 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identification code assigned to Jordan A Moore by the Centers for Medicare & Medicaid Services?
The Jordan A Moore has been issued the NPI (National Provider Identifier) 1013992619, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jordan A Moore's facilities are situated?
The facilities of Jordan A Moore are physically located at the following address: 121 E Silver Spring Dr, Whitefish Bay, WI, 532174702.
What is Jordan A Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jordan A Moore's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did the Jordan A Moore receive the assignment of its 1013992619 from the Centers for Medicare & Medicaid Services?
The Jordan A Moore was issued its 1013992619 by the Centers for Medicare & Medicaid Services on 2005-12-07.
As of what date were the Jordan A Moore's details last updated?
The information pertaining to the Jordan A Moore, including its address, specialty, and other details, was most recently updated on 2016-02-18.