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JERRY LEE MOORE M.D.
NPI 1396705547
Otolaryngology in Fresno, CA

Active since March 23, 2006
1351 E SPRUCE AVE, FRESNO, CA 93720(559) 432-3303(559) 432-1468 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Lee Moore M.d. NPPES

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

JERRY LEE MOORE M.D. (NPI 1396705547) is an individual otolaryngology provider in Fresno, California, licensed in California (A206180) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1396705547
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJERRY LEE MOORECredential: M.D.
Location Address1351 E SPRUCE AVEFresno, CA 93720-3342
Mailing Address1351 E Spruce AveFresno, CA 93720-3342 · (559) 432-3303 · Fax (559) 432-1468
Phone(559) 432-3303
Fax(559) 432-1468
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396705547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · A206180
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1351 E SPRUCE AVE, Fresno, CA 93720
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Other Identifiers 3

Medicare ID-Type Unspecified00A206180CA
Medicare UPINA22234CA
Medicaid00A206180CA

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD A WEINBERG M.D.
Otolaryngology
1351 E SPRUCE AVE
FRESNO, CA 93720
Fresno County (559) 432-3303
CENTRAL CALIF ENT MEDICAL GROUP
Plastic Surgery
1351 E SPRUCE AVE
FRESNO, CA 93720
Fresno County (559) 432-3303
CARL C ASKREN M.D.
Plastic Surgery
1351 E SPRUCE AVE
FRESNO, CA 93720
Fresno County (559) 432-3303
ALLIE FRENCH
Audiologist
1351 E SPRUCE AVE
FRESNO, CA 93720
Fresno County (559) 432-3303
ALLEN M EVANS M.D.
Otolaryngology
1351 E SPRUCE AVE
FRESNO, CA 93720
Fresno County (559) 432-3303
JAIME SUTTON AU.D.
Audiologist
1351 E SPRUCE AVE
FRESNO, CA 93720
Fresno County (559) 432-3303
BRENT JOSEPH LANIER M.D.
Otolaryngology
1351 E SPRUCE AVE
FRESNO, CA 93720
Fresno County (559) 432-3303
BENJAMIN J TEITELBAUM MD
Otolaryngology
1351 E SPRUCE AVE
FRESNO, CA 93720
Fresno County (559) 432-3303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Moore's NPI number?

The NPI number for Jerry Moore is 1396705547. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Jerry Moore located?

Jerry Moore practices at 1351 E Spruce Ave, Fresno, CA 93720. The listed phone number is (559) 432-3303.

What is Jerry Moore's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Jerry Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.