DR. LARRY ALAN MOORE (NPI# 1326097494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326097494 |
| Entity Type | Individual |
| Full Name | DR. LARRY ALAN MOORE |
| Credential | MD |
| Practice Address |
3205 N Academy Blvd Suite 160 Colorado Springs CO 80917-5101 |
| Mailing Address |
290 Crystal Park Road Manitoa Springs CO 80829 |
| Practice Telephone | 7197763216 |
| Practice Fax Number | 7197763187 |
| Mailing Telephone | 7196516070 |
| Mailing Fax Number | 7196868863 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2013-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 21039 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 42677076 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811464522 | Larry Moore | Adult Companion | 620 N Church St Apt 1603, Charlotte, NC 28202-3299 | 2018-10-31 |
| 1396915211 | Larry Moore | Pharmacy Technician | 1060 Wood Stream Dr, Grand Prairie, TX 75052-8837 | 2008-03-06 |
| 1013517150 | Larry La Vaughn Moore | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2020-10-28 |
| 1730658196 | Larry Gene Moore | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2018-11-15 |
| 1558609032 | Larry Moore | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2013-01-18 |
| 1891899308 | Larry Eugene Moore | Nurse Anesthetist, Certified Registered | 230 Hospital Plaza, Weston, WV 26452-8558 | 2006-09-13 |
| 1992773022 | Larry J. Moore | Dentist | 4200 Chino Hills Pkwy, #805, Chino Hills, CA 91709-3776 | 2006-03-14 |
| 1770553174 | Larry C Moore | Internal Medicine | 5308 North Galloway Ave, Suite 100, Mesquite, TX 75150 | 2006-01-26 |
| Street Address |
3205 N ACADEMY BLVD SUITE 160 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260613 | Daniel Samuel Berliner | Emergency Medicine | 3205 N Academy Blvd, Suite 160, Colorado Springs, CO 80917-5101 | 2005-10-21 |
| 1760083836 | Colorado Springs Radiologists PC | Radiology | 3205 N Academy Blvd, Colorado Springs, CO 80917-5147 | 2020-11-05 |
| 1609308436 | Royce Toffol | Student in an Organized Health Care Education/Training Program | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2017-03-30 |
| 1255784021 | Eric Austin Attard | Counselor | 3205 N Academy Blvd, Colorado Springs, CO 80917-5147 | 2016-07-18 |
| 1124481320 | Joshua Jewell | Family Medicine | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2016-04-04 |
| 1871955815 | Jordan Christensen | Student in an Organized Health Care Education/Training Program | 3205 N Academy Blvd, Ste. 130, Colorado Springs, CO 80917-5147 | 2016-03-28 |
| 1164883302 | Matthew J Schippers | Hospitalist | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2016-03-16 |
| 1255791190 | Peak Vista Community Health Center | Dentist | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917 | 2016-03-04 |
| 1780084392 | Erin Ordway | Physician Assistant | 3205 N Academy Blvd, Ste 100, Colorado Springs, CO 80917-5147 | 2014-09-02 |
| 1841551967 | Colorado Urgent Care Associates, P.C. | Clinic/Center | 3205 N Academy Blvd, Colorado Springs, CO 80917-5101 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596331 | Usacs of Colorado Inc | Emergency Medicine | 10975 Howells Rd, Colorado Springs, CO 80908-3731 | 2020-10-26 |
| 1427662709 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - Md, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1578177895 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - App, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1740894039 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - Md, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1003420324 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - App, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1700490018 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Health System - Md, 1400 E. Boulder Street, Colorado Springs, CO 80909-5533 | 2020-09-03 |
| 1619581923 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Health System - App, 1400 E. Boulder Street, Colorado Springs, CO 80909-5533 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
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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.