National Provider Identifier Database

JACK MOORE, MD – NPI #1467426221
Nephrology

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.


Contact Information

JACK MOORE, MD
3800 RESERVOIR RD NW
WASHINGTON, DC20007-2113
Phone: 202-877-6034
Fax: 202-877-8329
Website:
Specialty Taxonomy Code
* Nephrology 207RN0300X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for JACK MOORE

NPI Number 1467426221
Credentials MD
Entity Individual
Enumeration date 02/16/2006
Last updated 06/16/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • DC License #: MD19916
  • DC Medicaid: 025615700
  • MD Medicaid: 042931700
  • VA Medicaid: 5817889
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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