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

Jacob Clark Moore, DO

Individual provider Hospitalist Physician · NPI 1336644723

Jacob Clark Moore, DO is a Hospitalist in Evansville, Indiana. Qualified in 2018, 8 years ago. Practices with Commonwealth Health Corporation, Inc, a 263-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018
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

600 Mary St
Evansville, IN 47747-0001
Phone: (812) 450-3036
Fax: (812) 450-2193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 02006369A (IN)

Record details

NPI number1336644723
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021
Mailing addressPo Box 3407, Evansville, IN 47733-3407

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Commonwealth Health Corporation, Inc. — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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