PATRICE MCMOON (NPI# 1366630519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366630519 |
| Entity Type | Individual |
| Full Name | PATRICE MCMOON |
| Credential | PA-C |
| Practice Address |
12605 E 16th Ave Aurora CO 80045-2545 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 3034937000 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0003501 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0003501 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1366630519 | 01 | |
| NV | 1366630519 | 05 |
| Street Address |
12605 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556694 | Mark Armin Levine | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2005-05-23 |
| 1962001719 | Poudre Valley Medical Group, LLC | Social Worker | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-10-22 |
| 1811595473 | Jason Hayes | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-10-15 |
| 1710584560 | Alleson Bayer | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-10-05 |
| 1316554009 | Lisa Najera | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-09-26 |
| 1699382705 | James Lloyd Martin Jr. | Pharmacy | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-09-23 |
| 1740808575 | Beth Lee Smilkstein | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-07-08 |
| 1780200907 | Amanda Marie Miller-sarmento | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-23 |
| 1558987909 | Heather Ann Sutton | Counselor | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-22 |
| 1982220349 | Rocco James Miele | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1861902157 | Hannah Ellen Martin | Physician Assistant | Children's Hospital Colorado 13123 East 16th Avenue, Box 060, Aurora, CO 80045-0600 | 2017-10-02 |
| 1316316722 | Michaela Sutton | Physician Assistant | 2230 S Fraser St Unit 1, Aurora, CO 80014-4536 | 2015-09-16 |
| 1902248255 | Zachary Goren | Physician Assistant | 13650 E Mississippi Ave Ste 100, Aurora, CO 80012-3573 | 2013-07-26 |
| 1073853446 | Sarah Longyhore | Physician Assistant | 12631 E. 17th Avenue, Suite 6006, University of Colorado/anschutz Medical Campus, Aurora, CO 80045 | 2013-02-22 |
| 1235373721 | Emiliya Aminova | Physician Assistant | 2750 Tower Rd, Aurora, CO 80011-3501 | 2009-04-28 |
| 1942488200 | Ryan A Mooney | Physician Assistant | 13123 E 16th Ave Dept Of, Aurora, CO 80045-7106 | 2008-02-07 |
| 1366523128 | Arthur Sliwa | Physician Assistant | 2853 Kirk Rd, Aurora, IL 60502-6031 | 2006-10-18 |
| 1629094966 | Sharon Bahrych | Physician Assistant | 14707 E 2nd Ave Ste 150, Aurora, CO 80011-8914 | 2006-07-13 |
| 1821612805 | Elise Mackenzie Path | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-04 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on PATRICE MCMOON.
| 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.