Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAKE T MOORE, D.O.
Active Sole ProprietorDR. JAKE T MOORE, D.O. is a Family Medicine healthcare provider located in BOWLING GREEN, Ohio. NPI 1730537887 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BOWLING GREEN, OH
Registration Details
- NPI Number
- 1730537887
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2016 (10.194111116572 yrs)
- Last Updated
- Nov 3, 2023
- Licenses
-
5101022457 (MI)34.014671 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1180 N MAIN ST STE 5BOWLING GREEN, OH, 434024932Browse OH providers · Browse ZIP 43402
- Phone
- 4193151225
- Fax
- 4193151226
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in BOWLING GREEN, OH
| Name | Credential | NPI |
|---|---|---|
| JEFFREY B NOFTZ II | M.D. | 1063416733 |
| RANDY A TRIMPEY | M.D. | 1588668255 |
| RICHARD PETER WALSH | MD | 1043214828 |
| THOMAS E WOJCIECHOWSKI SR. | MD | 1447248265 |
| NAZIA YASMIN SIDIQ | D.O. | 1184602377 |
| ROBERT R DESMOND | MD | 1982683660 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.