ANNIE ANDERSON MOORE (NPI# 1962418459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962418459 |
| Entity Type | Individual |
| Full Name | ANNIE ANDERSON MOORE |
| Other Name | ANNE MCMINN |
| Credential | MD, MBA |
| Practice Address |
12605 E 16th Ave Wish Clinic, University of Colorado Hospital Aurora CO 80045-2545 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 7208480000 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2012-00846 | NC | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | DR.0054340 | CO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD13905 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 153783 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114562048 | Annie Ruth Moore | Nurse Practitioner | 900 7th St, Wichita Falls, TX 76301-2402 | 2019-11-14 |
| 1023402278 | Annie Lee Moore | Specialist/Technologist | 4611 Mortensen Rd, Apt 310, Ames, IA 50014-6227 | 2015-03-26 |
| 1164799797 | Annie Waldrum Moore | Nurse Practitioner | 101 Cambridge St, Burlington, MA 01803-3766 | 2011-11-28 |
| Street Address |
12605 E 16TH AVE WISH CLINIC, UNIVERSITY OF COLORADO HOSPITAL |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1982051017 | Senuri Layer | Internal Medicine | 2357 Sequoia Dr, Aurora, IL 60506 | 2016-05-18 |
| 1881056323 | Robert William Lentz | Internal Medicine | 12801 E. 17th Avenue 8101, 8th Floor, Ms 8117, Aurora, CO 80045 | 2016-03-23 |
| 1114306669 | Layla Abushamat | Internal Medicine | 12801 E 17th Ave Rm 7103, Aurora, CO 80045 | 2015-05-28 |
| 1912386582 | Carly E Hurley | Internal Medicine | Va Eastern Health Care Systems, 1700 North Wheeling Street, Aurora, CO 80045 | 2015-05-28 |
| 1306223656 | Shah Medical LLC | Internal Medicine | 6337 S Ider Way, Aurora, CO 80016-4280 | 2015-05-06 |
| 1285021147 | Erin Elizabeth Finn | Internal Medicine | 13123 E 16th Ave # B265, Aurora, CO 80045 | 2015-04-18 |
| 1366836256 | Lindsay Forbes | Internal Medicine | 12700 E 19th Avenue Rc2 9th Floor, University of Colorado Anschutz Div Pulm Crit Care, Aurora, CO 80045 | 2015-03-27 |
| 1205220779 | Eleanor Christine Floyd | Internal Medicine | 13123 E 16th Ave # B32, Aurora, CO 80045-7106 | 2015-03-23 |
| 1013309277 | Joshua Champion | Internal Medicine | 12631 E. 17th Ave, Ste. 2001, Mail Stop 8202, Aurora, CO 80045 | 2015-02-25 |
| Find all providers in AURORA | ||||
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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.