Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan E Moore, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1558339440

Dr. Jonathan E Moore, DPM is a Podiatry in Somerset, Kentucky. Graduated from California School of Podiatric Medicine in 1999, 27 years ago. Practices with Upperline Healthcare PC, a 188-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
27
Trained at
California School of Podiatric Medicine
Licensed in
KY
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

117 Tradepark Dr
Somerset, KY 42503-3428
Phone: (606) 679-2773
Fax: (606) 679-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 00269 (KY)

Record details

NPI number1558339440
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESOctober 29, 2007
Mailing address117 Tradepark Dr, Somerset, KY 42503-3428

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1999 (27 years in practice)
Group practice Upperline Healthcare Pc — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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