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

Jonathan Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215433248

Jonathan Moore is a Diagnostic Radiology in Little Rock, Arkansas. Graduated from University of South Alabama College of Medicine in 2018, 8 years ago. Practices with Selma Radiology Associates P C, a 29-clinician group and accepts Medicare assignment.

Years since qualifying
8
Trained at
University of South Alabama College of Medicine
In the registry since
2018
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Practice location Address checks out

4301 W Markham St # 556
Little Rock, AR 72205-7101
Phone: (501) 603-1595
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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 number1215433248
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 30, 2018
Last updated in NPPESMarch 30, 2018

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Selma Radiology Associates P C — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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