Patrick Timothy Moore, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

DR.0025922 Issued in CO

Practice address

11600 W 2ND PL
Lakewood, CO 80228-1527

Phone

(720) 321-0000

Fax

(720) 321-1621

NPI assigned

Mar 17, 2006

Last updated

Nov 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Denver NMR, Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Denver, CO
  • NPI 1699747857
  NPD (past)
• Schryver Medical Sales and Marketing Inc.

  • Mobile Radiology Clinic/Center
  • Denver, CO
  • NPI 1295849537
  NPD (past)
• New Schryver LLC

  dba TridentCare

  • Clinical Medical Laboratory
  • Carrollton, TX
  • NPI 1689025116
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1649249830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223897",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152512897",
            "telephone_number": "720-501-5000",
            "fax_number": "303-458-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 W 2ND PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281527",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PATRICK",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "25922",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0025922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01259225",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00262610",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen O Moore, PA-C
• Kayla Moore, BCABA
• Kerry E Moore, MD
• Lacey Michelle Moore, RBT
• Lisa Moore
• Tiffany Ann Moore, PHARM.D.
• Carolyn Moote, FNP
• Andrea Morales, MED, BCBA
• Filiberto Morales, MD, MPH
• Alexandra Moran

• Vascular & Interventional Radiology Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Vascular & Interventional Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.