JOHN B MOORE (NPI# 1194819649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194819649 |
| Entity Type | Individual |
| Full Name | JOHN B MOORE |
| Credential | MD |
| Practice Address |
777 Bannock St Mc 7782 Denver CO 80204-4507 |
| Practice Telephone | 3034366000 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
20487 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01204874 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
| 1609218379 | John Easter Moore Jr. | Social Worker | 2032 Sheffield Rd, Oklahoma City, OK 73120-4926 | 2013-07-23 |
| 1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
| 1487915799 | John S Moore | Registered Nurse | 26300 Ford Rd # 160, Dearborn Heights, MI 48127-2854 | 2012-06-04 |
| 1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
| 1205130176 | John Robert Moore | Family Medicine | 9715 Hurlbut Rd, Remsen, NY 13438-4621 | 2011-01-06 |
| 1548462385 | John William Moore IIi | Internal Medicine | 2643 Patterson Rd Ste 605, Grand Junction, CO 81506-1937 | 2007-06-04 |
| 1962612317 | John D Moore | Hearing Instrument Specialist | 7050 W Palmetto Park Rd Ste 20, Boca Raton, FL 33433-3462 | 2007-05-23 |
| Street Address |
777 BANNOCK ST MC 7782 |
| City | DENVER |
| State | CO |
| Zip Code | 80204-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941735 | Teresa A Wilcox | Nurse Practitioner | 777 Bannock St, Mc 1914, Denver, CO 80204-4507 | 2005-06-13 |
| 1437765997 | Nekol R Daley | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-09-21 |
| 1386261535 | Ivori Alexandria Zvorsky | Student in an Organized Health Care Education/Training Program | 777 Bannock St, Denver, CO 80204-4507 | 2020-07-02 |
| 1770100166 | Rachel Christina Corey-pacheco | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-07-01 |
| 1205450202 | Jeff Foster | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-06-04 |
| 1558990697 | Alana Byrnes | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-04-01 |
| 1437785862 | Brian James Wang | Physician Assistant | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-17 |
| 1881220648 | Marina Elyse Payne | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-12 |
| 1649805649 | Karin Gallup | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-10 |
| 1184259178 | Heather Krohn | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285891762 | Ryan Anthony Lawless | Surgery | 777 Bannock St # Mc0206, Denver Health Department of Surgery, Denver, CO 80204-4507 | 2008-05-21 |
| 1528011293 | Denis David Bensard | Surgery | 777 Bannock St, Denver, CO 80204-4507 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699732024 | William Frederick Pfeifer IIi | Surgery | 1682 E Red Fox Pl, Highlands Ranch, CO 80126-2618 | 2006-04-28 |
| 1891333829 | Denver Surgical Assistants PC | Surgery | 7780 S Broadway Ste 250, Littleton, CO 80122-2633 | 2019-12-20 |
| 1750937215 | Tacs Colorado | Surgery | 601 E Hampden Ave Ste 200, Englewood, CO 80113-2788 | 2019-08-12 |
| 1548518962 | Alexander Coomey Schwed | Surgery | 12631 E 17th Ave, Aurora, CO 80045 | 2012-08-15 |
| 1750680484 | Christian James Dennis | Surgery | 2121 E Harmony Rd Unit 330, Fort Collins, CO 80528-3403 | 2011-03-21 |
| 1225341431 | Phillips Surgical PC | Surgery | 499 E Hampden Ave, Suite 380, Englewood, CO 80113-2780 | 2010-07-16 |
| 1003071903 | Juan Pablo Idrovo | Surgery | 12605 E 16th Ave, Aurora, CO 80045 | 2008-07-21 |
| 1508058710 | John F Wolz Md Prof LLC | Surgery | 625 W Platte Ave, Fort Morgan, CO 80701-2669 | 2007-08-11 |
| 1396769436 | Tiffany Marie Willard | Surgery | 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909-5533 | 2006-07-26 |
| 1043266463 | Thomas J. Schroeppel | Surgery | 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909-5533 | 2006-05-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.