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

S Jason Moore, PA

Individual provider Surgical Physician Assistant · NPI 1356468979

S Jason Moore, PA is a Physician Assistant in Vail, Colorado. Qualified in 2004, 22 years ago. Practices with Wheatland Memorial Healthcare, an 18-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
22
Licensed in
CO
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

181 W Meadow Dr
Vail, CO 81657-5242
Phone: (970) 479-5036
Fax: (970) 569-7453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2029 (CO)

Record details

NPI number1356468979
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESDecember 22, 2008
Mailing addressPo Box 270596, Louisville, CO 80027-5009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Wheatland Memorial Healthcare — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Vail