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

Jacob Evans Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730761107

Jacob Evans Moore is an Anesthesiology in Huntsville, Alabama. Graduated from Alabama College of Osteopathic Medicine in 2021, 5 years ago. Practices with Ochsner Clinic LLC, a 2,842-clinician group and accepts Medicare assignment.

Years since qualifying
5
Trained at
Alabama College of Osteopathic Medicine
In the registry since
2021
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Practice location Address checks out

8 Wadsworth Dr
Huntsville, AL 35808-1007
Phone: (503) 367-4706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1730761107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2021
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Ochsner Clinic Llc — 2842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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