Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558342196 Individual Practitioner Male Practitioner

Dr. Benjamin E Moore , MD

Specialist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Moore, MD is a registered healthcare professional specializing in Specialist in Jacksonville, FL. Practice services are available at 2 SHIRCLIFF WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Shircliff Way
Ste 925

Jacksonville, FL 322044753

Telephone 9043876116
Fax 9043876118
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.7 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
107 Specialists

Practicing in Jacksonville, FL (3036 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME39355

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
273404400 (FL)
Commercial Insurance / Payer ID Bcbs
15663 (FL)
Commercial Insurance / Payer ID Railroad Medicare
130000327 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Susan Catto , ARNP

Nurse Practitioner - Adult Health

NPI 1063409886

Advanced Registered Nurse Practitioner

Brandon Trumble , AGACNP-BC

Nurse Practitioner - Critical Care Medicine

NPI 1124696687

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Allison Kotowski , LCSW

Social Worker - Clinical

NPI 1134164999

Licensed Clinical Social Worker

Dr. William Sumner , MD, FACS

Surgery - Surgical Oncology

NPI 1174531586

Doctor of Medicine (M.D.), FACS

Dr. Samer Salamekh , MD

Radiology - Radiation Oncology

NPI 1194266544

Doctor of Medicine (M.D.)

NPI 1225238892

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2012

Registered at 2 SHIRCLIFF WAY, STE 925, JACKSONVILLE, FL 322044753 (Tel: 9043876116)

📍
Updated Business Mailing Address January 09, 2012

Registered at PO BOX 17809, JACKSONVILLE, FL 322457809 (Tel: 9043876116)

👤
Provider Name / Credentials Updated January 09, 2012

Recorded as BENJAMIN MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2012

Specialist (License #ME39355 in FL)

🟢
Initial NPI Registration & Enumeration November 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558342196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2005
Last Update: January 09, 2012
Sole Proprietor: Yes

Mailing Address

Po Box 17809

Jacksonville, FL 322457809

Phone: 9043876116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.