DR. KELLY L MOORE (NPI# 1366430241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366430241 |
| Entity Type | Individual |
| Full Name | DR. KELLY L MOORE |
| Credential | MD |
| Practice Address |
4500 E. 9th Ave Suite 470 Denver CO 80220-3923 |
| Mailing Address |
4900 S Monaco St Suite 210 Denver CO 80237-3486 |
| Practice Telephone | 3033208499 |
| Practice Fax Number | 3033208620 |
| Mailing Telephone | 3033208499 |
| Mailing Fax Number | 3033208620 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 40114 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 00820041 | 05 | |
| KS | 201073340A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901233 | Kelly Lynn Moore | Counselor | 11111 E Mississippi Ave Ste 268, Aurora, CO 80012-3106 | 2019-09-13 |
| 1962981563 | Kelly Moore | Massage Therapist | 1776 S Jackson St Ste 830, Denver, CO 80210-3807 | 2018-08-14 |
| 1134619018 | Kelly Michelle Moore | Social Worker | 446 Pinecrest Cir, Long Beach, MS 39560-3639 | 2018-05-16 |
| 1932630902 | Kelly Moore | Optometrist | 1611 Plummer St #112e, North Hills, CA 91403-2036 | 2017-03-22 |
| 1780128942 | Kelly Renee Moore | Nurse Practitioner | 224 Margaret Michelle Ct, Saint Peters, MO 63376-4812 | 2016-12-07 |
| 1568817369 | Kelly Moore | Skilled Nursing Facility | 29 Nonotuck Rd, West Springfield, MA 01089-1616 | 2016-04-28 |
| 1588042980 | Kelly Moore | Registered Nurse | 1507 Broad Blvd, Cuyahoga Falls, OH 44223-2434 | 2015-05-18 |
| 1770977563 | Kelly Moore | Registered Nurse | 1120 Huffman Rd Ste 24-787, Anchorage, AK 99515-3516 | 2015-03-19 |
| 1790106342 | Kelly Ann Moore | Behavioral Analyst | 17845 Ridgeland Ave, Tinley Park, IL 60477-4383 | 2013-12-29 |
| 1720327570 | Kelly Moore | Occupational Therapy Assistant | 1848 E Gemini Dr, Tempe, AZ 85283-6000 | 2013-02-13 |
| Street Address |
4500 E. 9TH AVE SUITE 470 |
| City | DENVER |
| State | CO |
| Zip Code | 80220-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399065 | Kristina B Fraser | Obstetrics & Gynecology | 4500 E. 9th Ave, Suite 470, Denver, CO 80220-3923 | 2005-10-12 |
| 1528127651 | Steven Holt | Obstetrics & Gynecology | 4500 E. 9th Ave, Suite 470, Denver, CO 80220-3923 | 2006-12-06 |
| 1578621991 | Stephanie Motter | Nurse Practitioner | 4500 E. 9th Ave, #700, Denver, CO 80220 | 2006-12-05 |
| 1336215052 | Catherine G. Collins | Registered Nurse | 4500 E. 9th Ave, #420, Denver, CO 80220-3900 | 2006-11-27 |
| 1386739258 | Romana M Haas | Internal Medicine | 4500 E. 9th Ave, Suite 450, Denver, CO 80220-3933 | 2006-10-04 |
| 1477597854 | Suzanne L Strubel-lagan | Obstetrics & Gynecology | 4500 E. 9th Ave, #470, Denver, CO 80220-3923 | 2006-06-15 |
| 1437118601 | Sharon L Hammond | Surgery | 4500 E. 9th Ave, #615, Denver, CO 80220-3925 | 2006-03-17 |
| 1639168586 | Susan M Esmond | Physician Assistant | 4500 E. 9th Ave, #450, Denver, CO 80220-3933 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099766 | Bella Natural Womens Care | Obstetrics & Gynecology | 3894 Olive St, Denver, CO 80207-1528 | 2020-09-24 |
| 1144834011 | Scl Health Medical Group - Denver, LLC | Obstetrics & Gynecology | 1960 N Ogden St Ste 230, Denver, CO 80218-3668 | 2020-09-08 |
| 1245858463 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 4650 W 38th Ave Ste 215, Denver, CO 80212-2161 | 2020-07-14 |
| 1386262814 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 4330 W 37th Ave, Denver, CO 80212-1927 | 2020-07-10 |
| 1508482688 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 1258 S Pearl St Ste 100, Denver, CO 80210-1538 | 2020-06-24 |
| 1629692520 | Ob-gyn Affiliates | Obstetrics & Gynecology | 7350 E 29th Ave Unit 203, Denver, CO 80238-2721 | 2020-06-05 |
| 1154940294 | Atrium Health North Market Network LLC | Obstetrics & Gynecology | 294 N Nc 16 Business Hwy, Denver, NC 28037-8011 | 2020-04-09 |
| 1801240775 | Bridget Marie Kennedy | Obstetrics & Gynecology | 225 S Emmons St, Denver, IN 46926-2300 | 2016-04-18 |
| 1699133199 | University Physicians Incorporated | Obstetrics & Gynecology | 1772 Platte St, Denver, CO 80202 | 2016-01-29 |
| 1104284694 | University Physicians Incorporated | Obstetrics & Gynecology | 8111 E Lowry Blvd Ste 250, Denver, CO 80230 | 2016-01-29 |
| Find all providers in DENVER | ||||
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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.