Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Jake T Moore, DO

Individual provider Family Medicine Physician · NPI 1730537887

Dr. Jake T Moore, DO is registered under Family Practice in Bowling Green, Ohio. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2016, 10 years ago. Practices with Promedica Central Physicians, a 784-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
10
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
MI, OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1180 N Main St Ste 5
Bowling Green, OH 43402-4932
Phone: (419) 315-1225
Fax: (419) 315-1226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 — (801) 755-3422

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34.014671 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101022457 (MI)

Record details

NPI number1730537887
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 31, 2016
Last updated in NPPESNovember 3, 2023
Certification dateDecember 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2016 (10 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $917 39 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Promedica Central Physicians

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 784 clinicians in the practice; 12 are shown here.

Other providers in Bowling Green