DR. MARLA J MOORE MD
NPI 1376507608
Pediatrics - Pediatric Critical Care Medicine in St Cloud, MN

Q: What is Marla Moore's NPI number?

The NPI number for Marla Moore is 1376507608. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Marla Moore's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Marla Moore was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2006

1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303(320) 252-5731(719) 447-8987 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Marla J Moore Md NPPES

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

DR. MARLA J MOORE MD (NPI 1376507608) is an individual pediatric critical care medicine provider in St Cloud, Minnesota, licensed in Minnesota (105796) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1376507608

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. MARLA J MOORECredential: MD

Location Address1200 SIXTH AVE N, CENTRACARE CLINICSt Cloud, MN 56303-2735

Mailing Address1200 Sixth Ave N, Centracare ClinicSt Cloud, MN 56303-2735 · (320) 252-5731 · Fax (719) 447-8987

Phone(320) 252-5731

Fax(719) 447-8987

Sole ProprietorNo

Enumeration DateApril 13, 2006

Last NPPES UpdateOctober 27, 2011

✔ NPI 1376507608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in MN · 105796✔ Licensed in CO · 36444✔ Licensed in CO · CO36444✔ Licensed in HI · MD11545

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1200 SIXTH AVE N, St Cloud, MN 56303

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Other Identifiers 2

Medicare UPINH45819

Medicaid32804377CO

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. DAVID G BENDITT MD

Internal Medicine (Cardiovascular Disease)

1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303

Stearns County (320) 252-5131

TROY A PAYNE MD

Internal Medicine (Sleep Medicine)

1200 SIXTH AVE N, CENTRA CARE CLINIC
ST CLOUD, MN 56303

Stearns County (320) 251-0726

DR. CHRISTOPHER WILLIAM WIELAND MD

Hospitalist

1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303

Stearns County (320) 251-2700

COURTNEY LYNN BREVER PA-C

Physician Assistant

1200 SIXTH AVE N
ST CLOUD, MN 56303

Stearns County (320) 656-7020

ALYSSA MARIE MONSON RD LD

Dietitian, Registered

1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303

Stearns County (320) 252-3342

DR. JESSIE LEE KERNS ROSKE MD

Hospitalist

1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303

Stearns County (320) 251-2700

PAUL L MAREK MD, FHM

Hospitalist

1200 SIXTH AVE N
ST CLOUD, MN 56303

Stearns County (320) 251-2700

DR. JEFFREY S GERDES MD

Neurological Surgery

1200 SIXTH AVE N, CENTRACARE CLINIC RIVER CAMPUS/NEROSURGERY
ST CLOUD, MN 56303

Stearns County (320) 259-1405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marla Moore's NPI number?

The NPI number for Marla Moore is 1376507608. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Marla Moore located?

Marla Moore practices at 1200 Sixth Ave N Centracare Clinic, St Cloud, MN 56303. The listed phone number is (320) 252-5731.

What is Marla Moore's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Marla Moore was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.