MR. JON G. MOORE PA-C
NPI 1003805201
Physician Assistant in Saint Robert, MO

Q: What is Jon Moore's NPI number?

The NPI number for Jon Moore is 1003805201. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is Jon Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Moore was last updated on March 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 19, 2005

608 OLD ROUTE 66, SAINT ROBERT, MO 65584(573) 336-5100 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Jon G. Moore Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JON G. MOORE PA-C (NPI 1003805201) is an individual physician assistant in Saint Robert, Missouri, licensed in Missouri (118222) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1003805201

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JON G. MOORECredential: PA-C

Location Address608 OLD ROUTE 66Saint Robert, MO 65584-3730

Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620

Phone(573) 336-5100

Sole ProprietorNo

Enumeration DateOctober 19, 2005

Last NPPES UpdateMarch 13, 2014

✔ NPI 1003805201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 118222

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

608 OLD ROUTE 66, Saint Robert, MO 65584

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