NICHOLAS J.E. MOORE


Address: 1390 Kelly Johnson Blvd, Colorado Springs, CO 80920-3908
Phone: 7195931799

NICHOLAS J.E. MOORE (NPI# 1417905092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417905092
Entity Type Individual
Full Name NICHOLAS J.E. MOORE
Credential MD
Practice Address 1390 Kelly Johnson Blvd
Colorado Springs
CO 80920-3908
Practice Telephone 7195931799
Mailing Telephone 7195931799
Enumeration Date 2006-05-05
Last Update Date 2016-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
48664 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO MEDICAID 88639266 01
CO DEA BM7400752 01

Other Providers NICHOLAS MOORE

NPI Name Taxonomy Address Enumeration
1265042691 Nicholas Antonio Moore Pharmacist 604 Cherry Dr, Fairview Heights, IL 62208-2846 2020-07-31
1073017679 Nicholas M Moore Spec/Tech, Pathology 1653 W Congress Pkwy Ste 1173, Chicago, IL 60612-3833 2018-03-20
1265727556 Nicholas Jay Moore Family Medicine 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 2011-06-14
1093339491 Nicholas Simms Moore Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Boston, MA 02215-5491 2020-06-01
1396372868 Nicholas Lawrence Moore Student in an Organized Health Care Education/Training Program 111 Colchester Ave, Burlington, VT 05401-1473 2020-03-25
1013550383 Nicholas Moore Nurse Anesthetist, Certified Registered 9333 Imperial Hwy, Downey, CA 90242-2812 2019-10-19
1336795509 Nicholas M Moore Psychologist 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 2019-08-14
1225695703 Nicholas Jay Moore Dentist 440 E Tampa St, Springfield, MO 65806-1131 2019-05-21
1467017343 Nicholas Maximilian Moore Student in an Organized Health Care Education/Training Program 1250 E Marshall St, Richmond, VA 23298-5051 2019-05-06
1811421258 Nicholas Moore Student in an Organized Health Care Education/Training Program 9333 Park West Blvd, Suite 102, Knoxville, TN 37923-4341 2017-04-12

Office Location

Street Address 1390 KELLY JOHNSON BLVD
City COLORADO SPRINGS
State CO
Zip Code 80920-3908

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407463409 Cynthia Cruz Marriage & Family Therapist 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 2020-09-24
1851905178 Emergency Medical Specialists, PC Emergency Medicine Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 2020-09-03
1114531431 Emergency Medical Specialists, PC Emergency Medicine Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 2020-09-03
1205440583 Emergency Medical Specialists, PC Emergency Medicine Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 2020-09-03
1700490455 Poudre Valley Medical Group, LLC Radiology 4080 Briargate Parkway, Colorado Springs, CO 80920 2020-09-01
1962015792 Emergency Medical Specialists, PC Emergency Medicine Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 2020-08-31
1194296491 Kramer Dentistry Inc Clinic/Center 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 2018-12-12
1134602279 Juliana Plucinik Assistant Behavior Analyst 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 2018-09-14
1811473861 Vsb Colorado Providers Pllc Dentist 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 2018-07-12
1336637438 Children's Hospital Colorado General Acute Care Hospital 4090 Briargate Parkway, Colorado Springs, CO 80920 2018-04-25
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013860 Pueblo Radiological Group, P.C. Radiology 245 Balmoral Way, Colorado Springs, CO 80906-7907 2020-11-06
1548861529 Pueblo Radiological Group, P.C. Radiology 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 2020-11-05
1376153965 Colorado Springs Radiologists PC Radiology 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 2020-08-07
1447662325 Lee Holder Radiology 6095 Grand Mesa Dr, Colorado Springs, CO 80923-3484 2014-05-27
1215270004 Craig Thomas Mcmullen Radiology 1924 N Tejon St, Colorado Springs, CO 80907-6919 2013-04-01
1871853416 Jamie A. Aminsharifi Radiology 18 W Buena Ventura St, Colorado Springs, CO 80907 2012-05-16
1689944290 Richard Bard Mcmullen Radiology 405 Southfield Rd, Colorado Springs, CO 80919-3217 2012-01-12
1154690840 Robert Warr Radiology 1160 Dancing Horse Dr, Colorado Springs, CO 80919-3908 2011-12-26
1841463452 Gavin W. Arnett Radiology 1885 Mud Hen Dr, Colorado Springs, CO 80921-2094 2008-04-04
1770620106 Jason Thomas Scism Radiology 1545 Napoli Way, Colorado Springs, CO 80906-5793 2007-02-01
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Competitor

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City COLORADO SPRINGS
Zip Code 80920

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Dataset Information

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.

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