Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jason L Moore, MD

Individual provider Emergency Medicine Physician · NPI 1720049109

Dr. Jason L Moore, MD is an Emergency Medicine in Saint Paul, Minnesota. Graduated from Medical College of Ohio in 2002, 24 years ago. Practices with Iowa Emergency Services LLC, an 8-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Iowa, Michigan and Minnesota.

Years since qualifying
24
Trained at
Medical College of Ohio
Licensed in
IA, MI, MN
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

45 10th St W
Saint Paul, MN 55102-1062
Phone: (651) 232-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 6071 W Outer Dr, Detroit, MI 48235-2624 — (313) 966-3300
  • 1575 Beam Ave, Maplewood, MN 55109-1126 — (651) 232-7000
  • 1925 Woodwinds Dr, Woodbury, MN 55125-4445 — (651) 232-0100

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 39945 (IA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 61613 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301080458 (MI)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 4301080458 (MI)

Record details

NPI number1720049109
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 2002 (24 years in practice)
Group practice Iowa Emergency Services Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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