JON G. MOORE PA-C
NPI 1003805201
Physician Assistant in Springfield,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 19, 2005

Contact Information

Po Box 2580
Springfield,
Post Code: 65801
Phone: (417) 829-4620
Fax: -

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Jon G. Moore Pa-c in Springfield - Physician Assistant

Jon G. Moore Pa-c is a Physician Assistant in Springfield, . Jon G. Moore Pa-c practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jon G. Moore Pa-c is 1003805201. The last update date is 2014-03-13.

Jon G. Moore Pa-c's current location address is Po Box 2580, Springfield, . You can contact this provider via phone number (417) 829-4620 and fax number -. The mailing address for Jon G. Moore Pa-c is Po Box 2580, Springfield, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003805201
Provider Name
JON G. MOORE PA-C
Gender
Male
Entity Type
Individual
Location Address
Po Box 2580, Springfield,
Location Phone
(417) 829-4620
Location Fax
-
Mailing Address
608 Old Route 66, Saint Robert, Missouri(MO)
Mailing Phone
573-336-5100
Mailing Fax
-
Enumeration Date
2005-10-19
Last Update Date
2014-03-13
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
118222
License State
Missouri (MO)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
431560263 Other (non-Medicare) (01) Missouri (MO) Tricare
P01262378 Other (non-Medicare) (01) Missouri (MO) RR MCR

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003805201
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031601020
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20031601020
2 + 0 + 0 + 3 + 1 + 6 + 0 + 1 + 0 + 2 + 0 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 1 1

The NPI number 1003805201 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003804253 ANTONINA S GESMUNDO
Individual
Psychiatry & Neurology, Psychiatry 14245 REELFOOT LAKE DR
CHESTERFIELD, Missouri (MO)
314-469-1049
1003804139 INTERMED MEDICAL CONSULTANTS INC
Organization
Internal Medicine, Pulmonary Disease 4850 LEMAY FERRY RD
SAINT LOUIS, Missouri (MO)
314-892-6565
1003803370 LARRY RAY KENNON
Individual
Nurse Practitioner, Family 7232 COUNTY ROAD 9900
WEST PLAINS, Missouri (MO)
417-255-9233
1003803164 STEPHEN W STIGERS
Individual
Anesthesiology 30 DOCTORS PARK
CAPE GIRARDEAU, Missouri (MO)
573-334-9606
1003802406 BEVERLY JO GANN
Individual
Nurse Practitioner, Women's Health 4360 STATE HIGHWAY 176 E
CHESTNUTRIDGE, Missouri (MO)
417-443-0039