Marlesa Renee Moore (NPI# 1265728141, PAC ID# 0547419616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1265728141 |
| PAC ID by PECOS | 0547419616 |
| Professional Enrollment ID | I20180913003247 |
| Full Name | Marlesa Renee Moore |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
1015 E Pikes Peak Ave Suite 100 Colorado Springs CO 80903-5700 |
| Phone Number | 7196328118 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 | 7196328118 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
| Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
| Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
| John T Seddon | Orthopedic Surgery | Poudre Valley Medical Group LLC | 175 S Union Blvd, 300 Uchmg Orthopedic Surgery, Colorado Springs, CO 80910-3126 |
| Street Address |
1015 E PIKES PEAK AVE SUITE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80903-5700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill A Murray | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Pamela K Richards | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Deborah S Lasley | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah R Collins | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Edward B Belding | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Lindsey A Swaim | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Jeremy J Snyder | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Roy L Hill | Psychologist, Clinical | 716 N Tejon St, Suite 7, Colorado Springs, CO 80903-1012 | |
| Honie B Crandall | Psychiatry | 10 E Monument St, Colorado Springs, CO 80903-1018 | |
| Dina Marie Buckey | Clinical Social Worker | 731 N Weber St, Suite 235, Colorado Springs, CO 80903-1019 | |
| Paul J Houge | Pediatric Medicine | Matthews-vu Medical Group, P.C. | 629 N Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 |
| Amy D Kammerzell | Nurse Practitioner | Matthews-vu Medical Group, P.C. | 629 N Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 |
| Emily L Maney | Clinical Social Worker | Matthews-vu Medical Group, P.C. | 629 N Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 |
| Find all physicians in zip 80903 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | COLORADO SPRINGS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Marlesa Renee Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.