STEPHEN MOORE MD NPI 1104280478

NPI Information

NPI: 1104280478
Provider Name: STEPHEN MOORE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1721 E 19TH AVE STE 520
DENVER, CO
ZIP 80218
Phone: (303) 839-6741
Get Directions

Stephen Moore, MD is a diagnostic radiology radiology in Denver, CO with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Stephen Moore, MD NPI is 1104280478. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2016

The provider's business location address is:

1721 E 19TH AVE STE 520
DENVER, CO
ZIP 80218-243
Phone: (303) 839-6741

The NPI 1104280478 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2016 and was last updated on 4/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	29924	MISSISSIPPI	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	2085N0904X	Radiology	Nuclear Radiology	65302	TENNESSEE	No
4	2085R0202X	Radiology	Diagnostic Radiology	65302	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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