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

Jack C Moore II, MD

Individual provider Family Medicine Physician · NPI 1164443529

Jack C Moore II, MD is a Family Practice in Louisville, Kentucky. Graduated from West Virginia University School of Medicine in 1987, 39 years ago. Practices with University of Louisville Physicians Inc, a 1,433-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
39
Trained at
West Virginia University School of Medicine
Licensed in
IN, KY
In the registry since
2006
Specialties on file
2
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

175 S English Station Rd Ste 226
Louisville, KY 40245
Phone: (502) 244-0911
Fax: (502) 253-0581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 515 Hospital Dr Ste 1, Shelbyville, KY 40065-1619 — (502) 633-3525
  • 515 Hospital Dr Ste 1, Shelbyville, KY 40065-1619 — (502) 633-3525

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34365 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01069727A (IN)

Record details

NPI number1164443529
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESAugust 19, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice University Of Louisville Physicians Inc — 1433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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