SUSAN S MOORE MD
NPI 1316035413
Pediatrics in Jacksonville, FL

NPI Status: Active since October 11, 2006

Contact Information

6271 SAINT AUGUSTINE RD
JACKSONVILLE, FL
ZIP 32217
Phone: (904) 633-0460
Fax: (904) 633-0461

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  • Individual
  • Female
  • Pediatrics

About SUSAN MOORE

This page provides the complete NPI Profile along with additional information for Susan Moore, a pediatrician established in Jacksonville, Florida with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1316035413 assigned on October 2006. The practitioner's primary taxonomy code is 208000000X with license number ME92420 (FL). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1316035413
Provider Name
SUSAN S MOORE MD
Gender
Female
Entity Type
Individual
Location Address
6271 SAINT AUGUSTINE RD JACKSONVILLE, FL 32217
Location Phone
(904) 633-0460
Location Fax
(904) 633-0461
Mailing Address
5396 HIDDEN GARDENS DR JACKSONVILLE, FL 32258
Mailing Phone
(904) 553-4644
Is Sole Proprietor?
No
Enumeration Date
10-11-2006
Last Update Date
12-27-2011
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A pediatrician like Susan Moore is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
ME92420
License State
FL
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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
275686200MEDICAID (05)FL 

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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.
1316035413
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326031042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 0 + 3 + 1 + 0 + 4 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1316035413 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154380285DR. OLIN BEVERLY MAULDIN JR. M.D.
Individual
Pediatrics6271 SAINT AUGUSTINE RD UFJP SAN JOSE PEDIATRIC AND ADOLESCENTER CENTER
JACKSONVILLE, FL 32217
(904) 633-0460
1801848056DR. TAJVAR H GOUDARZI MD
Individual
Pediatrics6271 SAINT AUGUSTINE RD UFJP SAN JOSE PEDS AND ADOLESCENT CENTER
JACKSONVILLE, FL 32217
(904) 633-0460
1588892178 MARY ELSIELYNN CARRIGAN ARNP
Individual
Nurse Practitioner (Family)6271 SAINT AUGUSTINE RD UFJAX - DEPT. OF PEDIATRICES
JACKSONVILLE, FL 32217
(904) 633-0926
1598727075DR. PAMELA ALIX LINDOR MD
Individual
Pediatrics6271 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32217
(904) 633-0460
1790706711 CARMELA LYDIA TARDO MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)6271 SAINT AUGUSTINE RD UFJP DEVELOPMENTAL PEDIATRICS
JACKSONVILLE, FL 32217
(904) 633-0750
1467493288DR. DAVID OMER CHILDERS JR. M.D.
Individual
Pediatrics (Developmental - Behavioral Pediatrics)6271 SAINT AUGUSTINE RD UFJP DEVELOPMENTAL PEDIATRICS
JACKSONVILLE, FL 32217
(904) 633-0770
1568032720UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Organization
Pediatrics6271 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32217
(904) 633-0460
1487329694UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC
Organization
Pediatrics (Developmental - Behavioral Pediatrics)6271 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32217
(904) 633-0750

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316035413, enumerated in the NPI registry as an "individual" on October 11, 2006

The provider is located at 6271 Saint Augustine Rd Jacksonville, Fl 32217 and the phone number is (904) 633-0460

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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