Individual
JEFFREY D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
860 OMNI BLVD, SUITE #203, NEWPORT NEWS, VA 23606-4237
(757) 327-0657
(757) 327-0658
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101040065
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010195446
—
VA
01
—
1820272
ANTHEM
VA
01
—
186495
ANTHEM
VA
01
—
P00294853
RR/MEDICARE
—
Enumeration date
11/09/2005
Last updated
08/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us