John C Moore MD PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

24909 Issued in CO

Legal business name

JOHN C MOORE MD PC

Practice address

88 Inverness Cir E
K102
Englewood, CO 80112-5304

Phone

(702) 234-1895

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Raggio Colby, MD

Title

Ceo

Phone

(702) 234-1895

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1760639009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E",
            "address_2": "K102",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125304",
            "telephone_number": "702-234-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E",
            "address_2": "K102",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125304",
            "telephone_number": "702-234-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C MOORE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "COLBY",
        "authorized_official_first_name": "RAGGIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-234-1895",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "24909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.