IndividualActive
Jacob Moore, D.O.
NPI 1508065244 · Obstetrics & Gynecology Physician · Oklahoma City, OK
Provider details
- NPI number
- 1508065244
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4541 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 N Lee Ave
Suite 300
Oklahoma City, OK 73103-2600
Phone: (405) 272-7005
Fax: (405) 272-7391
Street-level locationGet directions
Mailing address
Po Box 268986
Oklahoma City, OK 73126-8986
Registry dates
- Enumerated
- 2007-07-12
- Last updated
- 2014-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.