MR. JON G. MOORE (PA-C) – Physician Assistant, NPI 1003805201

MR. JON G. MOORE (PA-C) is a healthcare provider. based in Springfield, Missouri. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 118222 (MO). The NPI Number for MR. JON G. MOORE (PA-C) is 1003805201

Main info

Male
Name
MR. JON G. MOORE (PA-C)
NPI
1003805201
Phone
(417) 829-4620
Address
PO BOX 2580
Enumeration Date
19 October 2005
Last Update Date
13 March 2014
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

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Provider Addresses for MR. JON G. MOORE (PA-C)

  • Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom

    SPRINGFIELD, MO 658012580

    Phone: (417) 829-4620

    Type: Mailing

  • Old Route 66, Gospel Ridge, Saint Robert, Pulaski County, Missouri, 65584, United States

    SAINT ROBERT, MO 655843730

    Phone: (573) 336-5100

    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 65801)

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Provider's Procedures

MR. JON G. MOORE (PA-C) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMO17003Destruction of 2-14 skin growths1406329

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Frequently asked questions

Does MR. JON G. MOORE (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. JON G. MOORE (PA-C) uses 1003805201.
Is MR. JON G. MOORE (PA-C) still practicing?
MR. JON G. MOORE (PA-C) is currently listed as active in the public NPI registry.
What is MR. JON G. MOORE (PA-C) best known for clinically?
Directory data describes MR. JON G. MOORE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. JON G. MOORE (PA-C) based?
MR. JON G. MOORE (PA-C) is tied to Springfield, Missouri in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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