Individual provider · Type 1 NPI

Jason L. Moore, MD

Emergency Medicine Physician · St. Paul, MN

NPI number 1720049109 Active

Practice location

45 10th St W
St. Paul, MN 55102-1062

Call (651) 232-3000 Map

Mailing address

27400 Franklin Rd, #B707
Southfield, MI 48034-2358

Other practice locations

  • 1925 Woodwinds Dr, Woodbury, MN 55125-4445 · (651) 232-0100
  • 6071 W Outer Dr, Detroit, MI 48235-2624 · (313) 966-3300
  • 1575 Beam Ave, Maplewood, MN 55109-1126 · (651) 232-7000

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X61613 (MN)
Emergency Medicine Physician 207P00000X4301080458 (MI)
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X4301080458 (MI)
Emergency Medicine Physician Primary 207P00000X39945 (IA)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1720049109

Jason L. Moore, MD's National Provider Identifier is 1720049109, issued on Mar 28, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in St. Paul, MN. The record was last updated on Nov 16, 2020.