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

Jacob Moore

Individual provider Family Medicine Physician · NPI 1851089684

Jacob Moore is a Family Medicine Physician in Hilo, Hawaii. Licensed in Hawaii. Registered with an NPI since 2023.

Licensed in
HI
In the registry since
2023

Practice location Address checks out

1190 Waianuenue Ave
Hilo, HI 96720-2020
Phone: (808) 932-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DOS-2998 (HI)

Record details

NPI number1851089684
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address159 Margaret St Ste 100, Plattsburgh, NY 12901-1874

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