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

Jonathan Alan Moore

Individual provider Internal Medicine Physician · NPI 1821529652

Jonathan Alan Moore is a Pulmonary Disease in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices with Honorhealth Ambulatory, a 625-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and New York.

Years since qualifying
9
Licensed in
AZ, NY
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

9250 N 3rd St Ste 2030
Phoenix, AZ 85020-2407
Phone: (602) 786-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 70643 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 302603 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821529652
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2017
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Honorhealth Ambulatory — 625 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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