DR. PATRICK TIMOTHY MOORE (NPI# 1649249830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649249830 |
| Entity Type | Individual |
| Full Name | DR. PATRICK TIMOTHY MOORE |
| Credential | M.D. |
| Practice Address |
11600 W 2nd Pl Lakewood CO 80228-1527 |
| Mailing Address |
Po Box 223897 Pittsburgh PA 15251-2897 |
| Practice Telephone | 7203210000 |
| Practice Fax Number | 7203211621 |
| Mailing Telephone | 7205015000 |
| Mailing Fax Number | 3034583997 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25922 | CO | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
DR.0025922 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAILROAD MEDICARE | P00262610 | 01 |
| CO | 01259225 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740617968 | Patrick Joseph Moore | Anesthesiology | 5500 State Road 111, New Albany, IN 47150-9009 | 2013-10-02 |
| 1720338890 | Patrick James Moore | Massage Therapist | 109 S Summit Ave, Bremerton, WA 98312-4119 | 2012-09-14 |
| 1598068595 | Patrick W Moore | Counselor | 5150 Penn Avenue, Pittsburgh, PA 15224-1626 | 2010-12-13 |
| 1811168610 | Patrick Seth Moore | Pharmacist | 220 E Crestwood Ct, Gallup, NM 87301-7120 | 2008-03-19 |
| 1871653899 | Patrick Moore | Dentist | 21970 Bulverde Rd Ste 100, San Antonio, TX 78259-2179 | 2006-12-11 |
| 1487725487 | Patrick Dale Moore | Chiropractor | 8258 Rockville Road, Indianapolis, IN 46214-0000 | 2006-11-13 |
| 1811066046 | Patrick Michael Moore | Dentist | 2232 St Clair Ave, East Liverpool, OH 43920-1437 | 2006-11-06 |
| 1497789036 | Patrick Brett Moore | Dentist | 6340 N Chatham Ave, Kansas City, MO 64151-2473 | 2006-07-10 |
| 1558321505 | Patrick Daniel Moore | Podiatrist | 3811 29th Ave, Ste3, Kearney, NE 68845-1280 | 2006-03-24 |
| 1982604419 | Patrick Devincent Moore | Family Medicine | 3414 Moss St, Suite F&g, Lafayette, LA 70507-6107 | 2005-07-27 |
| Street Address |
11600 W 2ND PL |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960897 | Brigitte Beaudry | Specialist | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2005-05-31 |
| 1376144386 | Juli Derya Montgomery | Pharmacist | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-11-05 |
| 1679188619 | Catholic Health Initiatives Colorado | Psychologist | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-09-15 |
| 1275144743 | Neurosurgery One PC | Neurological Surgery | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-08-10 |
| 1710598289 | Neurosurgery One | Neurological Surgery | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-08-10 |
| 1912525304 | Hannah Rebecca Garcia | Registered Nurse | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-07-11 |
| 1114543808 | Michelle Lauren Pienknagura | Registered Nurse | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-06-18 |
| 1942824636 | Kalen Jeremy Vespoli | Student in an Organized Health Care Education/Training Program | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-05-29 |
| 1447873187 | Alexandra Halbach | Student in an Organized Health Care Education/Training Program | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-05-27 |
| 1861015141 | Kayla Marie Mcclanahan | Nurse Anesthetist, Certified Registered | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496534 | Rocky Mountain Vein Institute, Pllc | Radiology | 300 Plaza Dr Ste 275, Highlands Ranch, CO 80129-2310 | 2020-10-30 |
| 1194325811 | Rocky Mountain Vein Institute, Pllc | Radiology | 175 S Union Blvd Ste 200, Colorado Springs, CO 80910-3117 | 2020-10-30 |
| 1447850177 | Rocky Mountain Vein Institute, Pllc | Radiology | 1915 Wilmington Dr Unit 100, Fort Collins, CO 80528-6101 | 2020-10-30 |
| 1992303218 | Rocky Mountain Vein Institute, Pllc | Radiology | 109 Latigo Ln Ste D, Canon City, CO 81212-8113 | 2020-10-09 |
| 1457685398 | Rocky Mountain Vein Institute Pllc | Radiology | 115 E Riverwalk Unit 200, Pueblo, CO 81003-3320 | 2009-09-24 |
| 1831354539 | Aaron C Kovaleski | Radiology | 8080 Park Meadows Dr Ste 150, Lone Tree, CO 80124-2566 | 2008-07-22 |
| 1295795169 | Robert P Allen | Radiology | 210 University Blvd, Ste 102, Radiology Specialists of Denver, Denver, CO 80206 | 2006-03-24 |
| 1942290721 | Bryan Cortis Kramer | Radiology | 1601 E. 19th Ave #3950, Denver, CO 80218 | 2005-10-24 |
| 1982691440 | Timo M Quickert | Radiology | 4848 Thompson Pkwy, Suite 300, Johnstown, CO 80534-6433 | 2005-09-30 |
| 1013518471 | Rocky Mountain Vein Institute, Pllc | Radiology | 105 Edwards Village Blvd, Unit C-202, Edwards, CO 81632-3211 | 2020-11-03 |
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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.