JEFFREY LEE MOORE (MD) – Psychiatry Physician, NPI 1124005210

JEFFREY LEE MOORE (MD) is a healthcare provider. based in Fairlawn, Ohio. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 35-053478 (OH). The NPI Number for JEFFREY LEE MOORE (MD) is 1124005210

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY LEE MOORE (MD)
NPI
1124005210
Phone
(330) 344-3583
Address
3428 W MARKET ST
Enumeration Date
29 December 2005
Last Update Date
14 May 2008

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3302533100
Graduation Year
1982 (44 years ago)
PAC ID
5597843102
Group Practice PAC ID
5597663344
Professional Enrollment ID
I20080423000188
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JEFFREY LEE MOORE (MD)

  • West Market Street, Fairlawn, Summit County, Ohio, 44333, United States

    STE 103

    FAIRLAWN, OH 443333339

    Phone: (330) 344-3583

    Fax: (330) 869-2074

    Type: Mailing

  • 400 WABASH AVE

    AKRON, OH 443072433

    Phone: (330) 344-6525

    Fax: (330) 996-2943

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44333)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597663344View full group profile
NameSpecialtyState
Nurse PractitionerOH
P S Y C H I A T R YOH
P S Y C H I A T R YOH
Mental Health CounselorOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What unique ID ties claims to JEFFREY LEE MOORE (MD)?
NPI 1124005210 is assigned to JEFFREY LEE MOORE (MD) under the national enumeration system.
Is JEFFREY LEE MOORE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JEFFREY LEE MOORE (MD) treat or focus on?
Patients typically see JEFFREY LEE MOORE (MD) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for JEFFREY LEE MOORE (MD)?
We surface Fairlawn, Ohio for JEFFREY LEE MOORE (MD) based on available NPPES addresses.
What if Fairlawn, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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