Active NPI
Shawn E Moore, MD
- Surgery Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DR.0075847
- Practice address
- Grant Medical Center Surgical Critical Care
393 E. Town St. #116
Columbus, OH 43215 - Phone
- (614) 566-9108
- Fax
- (614) 566-9110
- NPI assigned
- Mar 22, 2019
- Last updated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DR.0075847 | CO | Primary |
Addresses
Primary practice location
Grant Medical Center Surgical Critical Care
393 E. Town St. #116
Columbus, OH 43215
Mailing address
393 E. Town St.
#116
Columbus, OH 43215
Phone (614) 566-9108
Other practice location 1
Grant Medical Center Surgical Critical Care
393 E. Town St. #116
Columbus, OH 43215
Phone (614) 566-9108
Other practice location 2
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Missouri, Columbia School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-2511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0075847 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Hospital Association of the San Luis Valley | Surgery | Current | Accepting new patients |
| Lutheran Hospital Association of the San Luis Valley | Current | Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients |
Locations
106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511
310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510
Interoperability endpoints
- smoore130572@adventhealth.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba San Luis Valley Health Regional Medical Center
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
-
- Orthopaedic Surgery Physician
- Savannah, TN
- NPI 1316246705
-
dba SLV Regional Medical Center
- Orthopaedic Surgery Physician
- La Jara, CO
- NPI 1063690600
-
dba SLV Health La Jara Clinic
- Rural Health Clinic/Center
- La Jara, CO
- NPI 1942511019
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
dba San Luis Valley Health Regional Medical Center
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1396205605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 E. TOWN ST.",
"address_2": "#116",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43215",
"telephone_number": "614-566-9108",
"fax_number": "614-566-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GRANT MEDICAL CENTER SURGICAL CRITICAL CARE",
"address_2": "393 E. TOWN ST. #116",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43215",
"telephone_number": "614-566-9108",
"fax_number": "614-566-9110"
}
],
"practiceLocations": [
{
"address_1": "Grant Medical Center Surgical Critical Care",
"address_2": "393 E. Town St. #116",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43215",
"country_code": "US",
"telephone_number": "614-566-9108",
"fax_number": "614-566-9110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Rollins St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328031248",
"country_code": "US",
"telephone_number": "407-303-6611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "SHAWN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "DR.0075847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.