MARK STEVEN MOELLER
NPI 1336126416
Emergency Medicine in Boulder, CO

Q: What is Mark Moeller's NPI number?

The NPI number for Mark Moeller is 1336126416. It was assigned to this individual provider in the NPPES registry on December 29, 2005. The provider is also known as Mark S. Moeller M.D..

Q: What is Mark Moeller's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Moeller was last updated on May 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2005

1100 BALSAM AVE, BOULDER, CO 80304(303) 440-2037(303) 306-7753 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mark Steven Moeller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK STEVEN MOELLER (NPI 1336126416) is an individual emergency medicine provider in Boulder, Colorado, licensed in Colorado (29839) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1336126416

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMARK STEVEN MOELLER

Location Address1100 BALSAM AVEBoulder, CO 80304-3404

Mailing AddressPo Box 173894Denver, CO 80217-3894 · (303) 306-7783 · Fax (303) 306-7753

Phone(303) 440-2037

Fax(303) 306-7753

Sole ProprietorNo

Enumeration DateDecember 29, 2005

Last NPPES UpdateMay 9, 2013

✔ NPI 1336126416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CO · 29839

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1100 BALSAM AVE, Boulder, CO 80304

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Other Names 1

Professional Name (2)Mark S. Moeller M.d.

Other Identifiers 3

Medicare PINC153078CO

Medicaid01298397CO

Medicare UPINE33738CO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN M MILLER M.D.

Radiology (Diagnostic Radiology)