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

Dr. Jonathan M Moore, DPM

Individual provider Podiatrist · NPI 1063670602

Dr. Jonathan M Moore, DPM is a Podiatry in Cincinnati, Ohio. Qualified in 2005, 21 years ago. Practices with Adams County Regional Medical Center, a 34-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
21
Licensed in
OH
In the registry since
2008
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

3248 Westbourne Dr Ste 1
Cincinnati, OH 45248-5146
Phone: (513) 662-3900
Fax: (513) 662-3933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 36003490 (OH)

Record details

NPI number1063670602
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 30, 2008
Last updated in NPPESDecember 4, 2022
Certification dateDecember 4, 2022
Mailing address32743 23 Mile Rd Ste 210, Chesterfield, MI 48047-2176

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Adams County Regional Medical Center — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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